
How State Medicaid Agencies Can Accelerate Tech Modernization
A business-led approach to strategy and management of large-scale technology projects can help agencies move faster and achieve better results.
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 in a postpandemic world.
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 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. 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.
We have a variety of proven benchmarks, tools, and frameworks to help health care payers, providers, systems, and services achieve growth and increased value.
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.
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.
A business-led approach to strategy and management of large-scale technology projects can help agencies move faster and achieve better results.
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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.