By overhauling strategy and operations and rediscovering its core values, vision, and purpose, the Western New York health provider halted $1 million in daily losses, reinvigorated its workforce, and improved access to care.
How We Help Clients in the Health Care Services Industry
Health care transformation extends beyond any single organization. Providers, payers, and health systems face distinct priorities, but sustainable change depends on how they work together across the broader health care ecosystem.
Our health care services consulting teams bring deep sector expertise with digital, AI, and operational capabilities to help clients improve outcomes, strengthen performance, and build more resilient organizations. We partner with private and public sector organizations across the health care ecosystem to address organization-specific priorities while improving how the system works as a whole.
Our health care services consulting teams bring deep sector expertise with digital, AI, and operational capabilities to help clients improve outcomes, strengthen performance, and build more resilient organizations. We partner with private and public sector organizations across the health care ecosystem to address organization-specific priorities while improving how the system works as a whole.
Health Care Providers
Providers are redefining care delivery to improve patient outcomes, increase capacity, and achieve sustainable growth. Our health care provider consulting work includes:
- AI-Enabled Clinical Transformation. Optimizing clinical pathways, resource utilization, and care delivery through AI and advanced analytics.
- Digital Access to Care and Patient Navigation. Expanding access through digital engagement, virtual care, and connected patient experiences.
- Growth, Business Model, and M&A Strategy. Developing growth strategies, evaluating M&A opportunities, and redesigning operating models to strengthen long-term performance.
Health Care Payers
Payers are using AI and new operating models to improve affordability, accelerate innovation, and deliver more coordinated care. Drawing on deep experience across payer organizations, our health care payer consulting team engages clients to improve performance while strengthening coordination across the health care ecosystem through:
- AI-Driven Cost Transformation. Improving medical and administrative cost management through AI, automation, and advanced analytics.
- Payer-Provider Integration. Strengthening coordination, optimizing operations, and improving member and patient experiences.
- Technology Modernization and Modular Architecture. Modernizing technology and operating models to accelerate innovation and improve organizational agility.
Health Care Systems
Health care systems must improve access, affordability, and resilience while preparing for future health challenges. Our health care systems consultants partner with governments, ministries of health, and public agencies to redesign systems that deliver better outcomes for populations while creating sustainable models for care delivery in areas such as:
- Health System Redesign. Transforming reimbursement, service delivery, workforce strategies, and system governance.
- Digital Infrastructure. Building connected data and digital platforms that improve coordination, expand access, and enable more effective care delivery.
- Policy and Legislative Implementation. Translating health policy into practical implementation that strengthens system performance and improves population outcomes.
Our Impact With Clients in the Health Care Services Industry
Digital Giant Develops Health Care Services Model. We 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.
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, we 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.
European Payer Identifies 2.3% in Savings. Using AI and advanced analytics to better understand patient journeys and intervention measures, we helped a large European payer optimize care management while identifying savings of 2.3% of total claims.
Leading Health System Delivers a Groundbreaking Product. We 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.
Our Products and Solutions for the Health Care Services Industry
We have a variety of proven benchmarks, tools, and frameworks to help health care payers, providers, and systems achieve growth and increased value.
Healthcare Commercial AI by BCG X is a fully integrated solution that uses AI, patient analytics, and digital tools to modernize health care interactions.
Tool
BCG's Hospital Suite
BCG’s Hospital Suite compiles hospital metrics for global benchmarking in infrastructure, performance, finance, quality, and contracts.
BCG's Hospital Suite
Tool
Patient Finder
Our Patient Finder platform offers real-time, interactive analytics to map patient journeys, build prediction models, and facilitate operating-model changes.
Patient Finder
SOLUTION
Health Care Capacity Planning
Our approach allows hospitals and health systems to forecast gaps in health care resources.
Health Care Capacity Planning
Solution
Value-Based Health Care Maturity Assessment Framework
The framework helps measure the progress of different countries as they work to delivering greater value in health care.
Value-Based Health Care Maturity Assessment Framework
Our Insights on the Health Care Services Industry
Article
August 3, 2026
Health insurers are moving beyond reimbursement to orchestrate care, improve outcomes, strengthen loyalty, control costs, and unlock growth across the health care value chain.
Article
July 14, 2026
Using AI to reshape the access center can shift it from a cost center to a revenue engine.
Article
July 8, 2026
Health system cost control must be treated as a clinical and strategic priority, and physician engagement must be embedded early and continuously.
Article
June 3, 2026
Healthcare payers face new competition as AI transforms the market. They must identify a long-term business model—and then design an AI strategy to match.
Article
April 24, 2026
AI capabilities are improving quickly for nonprofit health systems and academic medical centers. Realizing the value will depend on how fundamentally they rethink care delivery and access.
Article
March 9, 2026
Health care boards can make the difference between organizational failure and resilience. Cyber incidents will happen, but board oversight can safeguard patients and maintain essential services.
Our Health Care Services Team
BCG’s health care services consulting leaders work across the industry, partnering with health care providers, payers, and systems to help organizations navigate today’s most complex strategic, operational, and digital challenges.
