Sanjay Saxena
Managing Director & Senior Partner, Global Sector Leader, Health Care Payers, Providers, Systems & Services
San Francisco - Bay Area
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.
BCG has a variety of proven benchmarks, tools, and frameworks to help health care payers, providers, systems, and services achieve growth and increased value.
CARE by BCG:
Demand Planning in Health Care
CARE by BCG helps health care systems plan for their needs today and well into the future.
BCG is helping health care payers, providers, systems, and services thrive in a market defined by increased complexity, tighter regulation, and breakthrough digital technologies.
Digital Giant Develops Health Care Services Model. BCG worked with a digital giant based in China to build an offline and online health care services model, based on an in-depth understanding of policy trends, consumer needs, and competitor dynamics. The innovative business model was well designed and immediately put into pilot.
European Payer Identifies 2.3% in Savings. Using AI and advanced analytics to better understand patient journeys and intervention measures, BCG helped a large European payer optimize care management while identifying savings of 2.3% of total claims.
Leading Health System Delivers a Groundbreaking Product. BCG worked with a large health system to transform its technology—and its care. Applying human-centered design and an agile approach put a groundbreaking product into the hands of patients within a year. The new digital front door is now used by over 500,000 patients to find, manage, and pay for care with the click of a button.
Middle Eastern Country Delivers Health System Reform. A Middle Eastern country faced high health care costs, significant variation in quality of care, and large gaps in services. Working with stakeholders across 60 initiatives, BCG collaborated with the country’s Ministry of Health to design a national, value-based health care system that could deliver better patient outcomes and better access while curbing cost growth.
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.
Explore BCG’s latest thought leadership on health care payers, providers, systems, and services—and learn what the latest trends mean for your business.
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.
Payers that take a tailored PMI approach and follow six imperatives for success will be well positioned to achieve the strategic objectives of their M&A.
COVID-19 disrupted the health care industry along several dimensions. These BCG articles explain how payers, providers, health care systems, and service organizations can transform and adapt.
Ecosystems have the power to reshape the health care industry and end the tradeoff between access, quality, and cost. Here’s how.
Organizations must build on the momentum from their response to the crisis, delivering better care at lower overall cost and becoming more resilient to future disruptions.
With the right strategic thinking, health care systems will finally succeed in delivering the benefits that consumers have come to expect from other industries.
