Health Care Payers, Providers, Systems & Services

The health care industry is facing transformational changes. To thrive in a postpandemic world, health care leaders must build on their innovative responses to COVID-19 and develop new initiatives to reposition—and reimagine—their organizations for the future.

The health care payers, providers, systems, and services landscape is being transformed. Digital engagement models are proliferating, with many patient journeys now beginning online. Health equity is becoming a priority for every organization that is serious about health outcomes. Site of care is continuing to shift from inpatient or hospital settings to outpatient facilities—and, where possible, to the home. Data and analytics are enabling greater agility and innovation in health care. And the basis of competition is moving toward ecosystems of players, including public sector, biopharma, medtech, and technology companies.

BCG’s experts in health care strategy consulting are helping clients develop transformative solutions to their most pressing challenges and deliver outstanding value and positive change for organizations, patients, and society.

How We Help Health Care Payers, Providers, Systems & Services

Creating value for patients is both the ultimate goal and a critical competitive advantage for health care payers, providers, systems, and services worldwide. We use our deep industry knowledge to generate health care business models and solutions customized to each client’s situation. Key aspects of our work include the following.

Growth and Evolving Business Models

Innovation and Disruption

Patient Journeys of the Future

Digital Transformation

Advanced Analytics

New Ways of Working

Clinical Excellence

Payer Cost and Performance Transformation

Health System Transformation

BCG’s Proprietary Tools and Solutions

BCG has a variety of proven benchmarks, tools, and frameworks to help health care payers, providers, systems, and services achieve growth and increased value.

BCG’s proprietary tool Preparing Localities for Action Against Novel Coronavirus (PLAN) enables health care organizations to identify potential imbalances in capacity with regard to hospital beds, ICU beds, and ventilators, at both national and local levels.


  • Our Value-Based Health Care Maturity Assessment Framework helps measure the progress of different countries as they work to delivering greater value in health care.
  • BCG’s Hospital Suite compiles hospital metrics across regions to facilitate global health care benchmarking in such areas as hospital infrastructure, performance, finance, quality, and contracts.
  • Our Patient Finder platform offers real-time, interactive analytics to map patient journeys, build prediction models, and facilitate operating-model changes.
  • BCG’s state-of-the-art Health Care Capacity Planning tool allows hospitals and health systems to forecast gaps in health care resources.

Demand Planning in Health Care

CARE by BCG helps health care systems plan for their needs today and well into the future.

Our Client Impact in Health Care Payers, Providers, Systems & Services

BCG is helping health care payers, providers, systems, and services thrive in a market defined by increased complexity, tighter regulation, and breakthrough digital technologies.

Meet Our Health Care Strategy Consulting Team

BCG’s experts on health care payers, providers, systems, and services partner with leading companies to develop solutions in managing health care costs and quality, health system strategy, innovation in health care, payer operations, and more. The following are our global and regional leaders in this area.

Our Latest Thinking on Health Care Payers, Providers, Systems & Services

Explore BCG’s latest thought leadership on health care payers, providers, systems, and services—and learn what the latest trends mean for your business.

The Rise of the Health Care Bazaar - rectangle

The Rise of the Health Care Bazaar

Open-market business models—including exchanges, platforms, and hybrids—can transform the US health care industry, leading to more efficient, convenient, and cost-effective care.

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