News and Insights

Healthcare Delivery and Payers

Unlocking the Value of Clinically Integrated Networks

There are a number of strategic reasons for establishing a clinically integrated network (CIN), but there is only one that offers a path to sustainability. That reason is to provide a competitive vehicle for contracts with payers and employers that would otherwise be unavailable because of legal constraints. Indeed, CINs…

Three Keys to Defending Your Margins

The ongoing consolidation of the delivery market took a new turn last year.  Vertical deals that saw for-profits like Anthem and Optum acquiring delivery operations have raised anxiety to new levels. Margin compression was already a fact of life.  But the entry of for-profits into the mix poses the threat…

Rethinking Service Lines in a Value-Based World

The U.S. healthcare landscape is rapidly being reshaped by a variety of economic, political, and socio-demographic forces.  While the issue of health insurance has dominated much of the national dialogue, most agree that changing the way that healthcare is delivered and paid for is needed to get to better care…

The Numerof 2018 US Healthcare Delivery Outlook

Infographic

We expect continued turbulence across healthcare delivery in 2018, driven by policy uncertainty at the top and continued pressure for affordability and quality care from employers, consumers, and payers. Prodded by MACRA and commercial payers, the use of care models that incorporate accountability for cost and quality is slowly expanding. As our…

The Numerof 2018 US Health Insurance Outlook

Infographic

As our Numerof 2018 US Health Insurance Outlook infographic illustrates, this year’s story for health insurance will be about dramatically changing roles and relationships. You’ll engage in new and different ways with providers, consumers, employers, regulators, medical device makers and pharmaceutical manufacturers. All this will come in the context of…

A Recipe for Post-Merger Success: Building Organizational Alignment

With articles about health system mergers and acquisitions becoming a regular fixture in business publications, why is it that anticipated benefits of mergers remain so elusive?  Despite countless hours of time spent on identifying the “perfect” partner or target, conducting due diligence, surviving hard fought negotiations, and executing exquisitely detailed…