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Health Care Payers, Providers, Systems & Services

The health care industry is facing transformational change. BCG helps health care payers, providers, systems, and services develop new initiatives to reposition—and reimagine—their organizations for the future, and to thrive.

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 help clients improve people’s lives through health care systems transformation, leading to profound 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 health system strategies and solutions customized to each client’s situation. Key aspects of our work include the following.

Growth and Evolving Health Care Business Models

Innovation and Disruption

Patient Journeys of the Future

Digital Transformation

Health System Transformation

Advanced Analytics

New Ways of Working

Clinical Excellence

Payer Cost and Performance Transformation

Our Client Work with 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.


Our Proprietary Tools and Solutions

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

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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.

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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.

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Our Patient Finder platform offers real-time, interactive analytics to map patient journeys, build prediction models, and facilitate operating-model changes.

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BCG’s state-of-the-art Health Care Capacity Planning tool allows hospitals and health systems to forecast gaps in health care resources.

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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 Insights on Health Care Payers, Providers, Systems & Services

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.

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