News and Insights

Competition and Growth

Competitive Strategy for Mid-Sized Payers: Creative Collaborations are Key

Chief Healthcare Executive

Long-term success in any industry requires ongoing investment to progress customer-facing capabilities and internal operations. Health insurance is no exception and – one could argue – due to often thin differences among competitors, is a side of the health care ecosystem where smart reinvestment can create the margin to win…

Healthcare’s ‘Bigness’ Solution Was A Half-Truth

Forbes

A decade ago, pundits were beating the drum about “bigness,” saying things like: “You need to get bigger.” “You need to have scale.” “You need local market dominance to matter.” Similarly, healthcare leaders were told: “This is the only way to get to value.” “This is the only way to…

Healthcare “Excellence” Will Only Come from a Better Business Model

AJMC

Consumers’ dissatisfaction with our current healthcare system has existed for years, yet we still hope and pray it gets better. Instead of waiting for the industry to fix itself, some employers—whose health plans allow most Americans to afford healthcare services—have taken matters into their own hands. They’ve chosen to dedicate…

All of Us Are Impacted by These 3 Healthcare Startup Mistakes

AJMC

The healthcare industry is ripe with opportunity. It’s a $3 trillion market whose customers mostly feel they pay too much for what they get. The growing linkage of provider reimbursement to cost and outcomes creates room for innovators whose product or service can lower cost or improve outcomes. This is…

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…

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…