Impact & Expertise

Health Care Payers & Providers

Industry Challenges

Payer organizations worldwide are focused on managing the gap between funding and medical costs, often in the context of a changing regulatory environment. The corporate leaders of health care intermediaries are facing numerous challenges. Effective solutions to these challenges need to be tailored to local health-care systems, and payer organizations must find the best ways to influence the evolution of their health care systems.

Health care providers and distributors account for approximately 80 percent of all health care spending. The corporate leaders of hospitals, academic medical centers, and pharmacies must devise strategies to not only deliver value for patients, but also to generate financial results and be competitive in their local markets. This involves looking at the portfolio of services and exploring ways to carefully grow strategic segments.

BCG’s deep experience in the health care industry extends to having a sector dedicated specifically to payers and providers. Our collaborative network of professionals allows us to share relevant expertise that can benefit organizations involved in the financing, management, and delivery of health care services. Read More 

Impact Stories

  • Turnaround of a Major Health Insurance Company
  • See how BCG worked with a major health insurance company to turn around its core business and return it to a growth track.
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  • Performance Improvement in an Academic Medical Center
  • Learn how BCG worked with a major academic hospital to improve efficiency and financial performance.
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  • Driving Growth via Patient-Centered Health Care
  • Find out how BCG worked with a private health-care provider to improve care and drive growth.
  • read more


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Health Care Payers & Providers Publications

  • Health Systems Leapfrogging: From Concept to Scale-Up and System Transformation
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