| Home | What we do | Industries | Health | Our thought leadership |
The following articles were written by Booz & Company partners and other senior professionals on key topics in he health sector.
Payor/Provider
|
There are myriad forces shaping the future of healthcare in the United States. Speaking from this year’s World Healthcare Congress, Booz & Company’s Gary Ahlquist, Senior Partner in the Global Health practice, describes some of these factors, including the 4.5 million baby boomers who will come into retirement – and into Medicaid and Medicare - over the next 20 years. Watch the video now to learn what else is driving change in the healthcare space and why leaders need to take transformative action to respond.watch video >
|
![]() |
|
Health insurance in the U.S. is at the cusp of a major transition from an employer-driven payor model to a model directly involving many more employees and consumers. Private health insurance exchanges with a defined contribution approach represent a significant step toward catalyzing this change. In this paper, we consider the impact on the payor industry and the strategic approach that leading companies need to take.download (568kb, PDF) >
|
![]() |
|
This year’s healthcare industry news wasn’t entirely bad, although it offered little resolution to a long list of ongoing challenges and dilemmas, specifically, there's more questions than answers about the future of the U.S. health system. The uncertainty won’t go away soon — or all at once.read more >
|
![]() |
|
The formation of health insurance exchanges in 2014 is fundamental to the U.S. Patient Protection and Affordable Care Act. Health plans must actively engage with state regulators to create an exchange marketplace that is sustainable over time, while also developing a strategy for their participation in exchanges.download (412kb, PDF) >
|
![]() |
|
The costs of operating the U.S. health system are crushing, and the gap between quality and spending represents a tragic loss of value. Only with new collaborative models and capabilities designed to unlock medical value will the industry address the affordability challenge.download (343kb, PDF) >
|
![]() |
|
Our research suggests that traditional employer-based insurance will remain a significant market that will erode more slowly and less steeply than commonly thought. Ultimately, employer-sponsored plans will serve as the foundation for insurers’ future growth no matter how healthcare reform shakes out.download (441kb, PDF) >
|
![]() |
Life Sciences
|
Global drug companies are facing disruption. One powerful strategic response is to rethink their manufacturing and operations footprints.read more >
|
![]() |
|
Pharmaceutical companies confront patent challenges at a time when growth in the overall industry is slowing and demand is shifting to generic segments and emerging markets. We expect these trends to continue in 2012.read more >
|
![]() |
|
For decades the pharmaceutical industry’s direct-to-physician marketing model worked extremely well. Now, at a time when industry fundamentals are already challenging, companies must transform their marketing models to comprehensively focus on value creation.download (322kb, PDF) >
|
![]() |
|
Our research points to an unexpected and unheralded source of potential productivity in the quest to discover new drugs — mid-level managers in the R&D function.download (240kb, PDF) >
|
![]() |
Further Reading: Payor/Provider
|
The Transformative Hospital Supply Chain: Balancing Costs with Quality |
National healthcare systems face spiraling expenses as they seek to provide affordable, high-quality, and universal care services. Hospital supply chains present these systems with a prime opportunity both to mitigate increases in expenses and help improve patient care. download (333kb, PDF) > |
|
Anatomy of an E-Health Ecosystem |
E-health initiatives cannot succeed unless five key areas receive sufficient attention: governance policies and regulation, the financing model, technology infrastructure, services, and stakeholders. download (1.1mb, PDF) > |
|
Global Talent Innovation: Strategies for Breakthrough Performance |
Managing talent well creates value for companies — that’s the bottom line. To remain competitive, particularly in difficult times, they must not only cut costs; they must also seize future advantage by revamping their talent management strategies and developing more innovative value propositions, in line with the changing demographics of a more mobile, diverse, and global workforce. download (1.2mb, PDF) > |
|
Making Change Happen, and Making it Stick: Delivering Sustainable Organizational Change |
This Perspective describes Booz & Company’s approach to change management and lays out the five key success steps in any successful change management program. download (458kb, PDF) > |
|
Social CRM: How Companies Can Link into the Social Web of Consumers |
Social networking and other new technologies have given rise to the “social consumer.” Navigating this new world requires a new way of approaching customer relationship management, commonly called social CRM. In addition to their traditional CRM tools and processes, companies must rethink their product, channel, and customer strategies in order to build an entirely new relationship with their customers through greater transparency. download (437kb, PDF) > |
|
The Back Office Hits The Front Burner: The Next Big Opportunity in Cost Containment For Health Plans |
A cost transformation in the back-office operations of health plans could result in cost savings of as much as 20 percent. download (485kb, PDF) > |
|
The GCC's Insurance Mandate: How a Healthcare Policy Shift Affects Stakeholders |
Recognizing they will not be able to shoulder their citizens' healthcare costs indefinitely, the countries of the Gulf Cooperation Council (GCC) are shedding their welfare-state approach to funding of the healthcare sector in favor of a market-driven approach. One key part of this reform has been to make private employers responsible for far more of the region's healthcare burden. download (260kb, PDF) > |
|
Simplicity, Reliability, Value: Building Broker Loyalty to Health Plans |
Health plans are currently under pressure to maintain margins and membership bases, especially as groups confronting financial challenges drop or reduce coverage. Lower premiums and attractive commissions may drive short-term sales, but they are unsustainable in a prolonged downturn. download (407kb, PDF) > |
|
Deal or No Deal? Outcomes from a Decade of Healthcare M&A |
Despite the economic climate, many companies in the healthcare sector remain very well capitalized. And with the capital markets re-opening, we see growing momentum to re-evaluate portfolios and to exploit today’s price environment. In this study, published at the Social Science Research Network, we studied 1,750 healthcare deals over the 1998-2008 period, to identify common themes behind winning/losing deals. read more > |
|
Winning in Post-Reform Healthcare: What Insurers Can Do Today |
Since early 2009, the debate surrounding healthcare reform has occupied Congress and, arguably, the rest of the United States. Under any plausible scenario, the reforms will create a new set of winners and losers. Some insurers may already be better situated than others to win, given their current market position and book of business. But success will accrue to those insurers that can quickly seize the moment, mobilizing their resources, and building the necessary capabilities to not only survive but succeed in post-reform healthcare. download (357kb, PDF) > |
|
Strong-Form Products: What Providers Should Do Regardless of Reform Efforts |
A major long-term issue for the healthcare industry and U.S. consumers is cost — and the key is healthcare costs, not insurance costs. The focus of future waves of change/reform will place providers front and center. Working with doctors and insurers — and understanding consumers better — will be vital. And “strong-form” products that address the broadest possible set of clinical conditions and treatments, not just the most serious and expensive, are likely to play a major role. download (597kb, PDF) > |
|
The Pharmacy Solution: An Expanding Role for Pharmacies in Healthcare Delivery |
Convenient retail pharmacies with trusted staff could play an important part in expanding access to healthcare while driving down cost. However, to make a truly transformative impact on healthcare, pharmacies must overcome structural barriers and explore new business models. download (250kb, PDF) > |
|
Getting a Handle on Chronic Disease: Health Management Services in the GCC Region |
As GCC nations continue to invest in their healthcare systems, the region’s leaders should take their cue from certain developed nations in adopting health management services to help address the specter of a chronic disease epidemic. download (368kb, PDF) > |
|
The Empathy Engine: Achieving Breakthroughs in Patient Service |
This Perspective reflects the results of Katzenbach Center research on the state of customer service in healthcare. When healthcare players transform themselves into Empathy Engines, they not only improve patient satisfaction but create opportunities to improve the quality of care, increase employee engagement, reduce costs and achieve breakthroughs in organizational performance. download (1.0mb, PDF) > |
|
Optimizing E-Health Value: Using an Investment Model to Build a Foundation for Program Success |
Electronic health (e-health) initiatives that apply information technology to the delivery of healthcare services for patients and management of clinical information are an essential weapon in the battle against the rising costs and other systemic problems in healthcare. A customizable investment model can help guide policymakers as they seek to define, implement, and gain acceptance of viable e-health programs. download (562kb, PDF) > |
|
Healthy Links: Bringing Interoperability to Healthcare Delivery |
Healthcare organizations are striving to ensure continuity of care for their patients by moving from a paper-based environment to a digital setting in which information is collected, stored, and shared through IT applications. An enterprise integration solution ensures that data can be seamlessly exchanged across different systems and applications, making it available to the right individual in the right place and at the right time. download (432kb, PDF) > |
|
A Better Model for Health Care |
An innovative experiment in Florida shows the potential for more systemic collaboration as the catalyst for lower costs and improved quality. read more > |
|
Health Insurance Gets Personal |
As reform legislation makes the U.S. healthcare industry more consumer-centric, companies will need to change their business models and add new capabilities. read more > |
|
From Hidden Gems to Crown Jewels: Opportunities for Strategic Diversification for U.S. Health Plans |
As health plans find themselves under increased financial and political pressure, many are questioning the long-term viability of their current business models. As a result, some plans have chosen to place “side bets,” or diversify, and more will likely follow. download (249kb, PDF) > |
Further Reading: Life Sciences
|
Pharmaceutical Companies in the Economic Storm: Navigating from a Position of Strength |
Historically, the pharmaceutical sector has been less and later exposed to economic fluctuations, but is that true in the current crisis? This Perspective examines the impact of the crisis on pharmaceutical companies and discusses strategic moves they can make now to manage their way through the crisis and emerge in a stronger position. download (308kb, PDF) > |
|
Beyond the Blockbuster: Lean Manufacturing and Restructuring in Pharma |
For many years, production led a hardworking but underappreciated "Cinderella existence" within the pharmaceutical industry. Senior executives tended to overlook production and the entire supply chain. As long as production manufactured enough high-quality, compliant products to satisfy market demand, few executives considered it a crucial aspect of the business, and even fewer considered it a possible source of competitive advantage. download (412kb, PDF) > |
|
Optimizing E-Health Value: Using an Investment Model to Build a Foundation for Program Success |
Electronic health (e-health) initiatives that apply information technology to the delivery of healthcare services for patients and management of clinical information are an essential weapon in the battle against the rising costs and other systemic problems in healthcare. A customizable investment model can help guide policymakers as they seek to define, implement, and gain acceptance of viable e-health programs. download (562kb, PDF) > |
|
The Pharmacy Solution: An Expanding Role for Pharmacies in Healthcare Delivery |
Convenient retail pharmacies with trusted staff could play an important part in expanding access to healthcare while driving down cost. However, to make a truly transformative impact on healthcare, pharmacies must overcome structural barriers and explore new business models. download (250kb, PDF) > |
|
Deal or No Deal? Outcomes from a Decade of Healthcare M&A |
Despite the economic climate, many companies in the healthcare sector remain very well capitalized. And with the capital markets re-opening, we see growing momentum to re-evaluate portfolios and to exploit today’s price environment. In this study, published at the Social Science Research Network, we studied 1,750 healthcare deals over the 1998-2008 period, to identify common themes behind winning/losing deals. read more > |
|
Social CRM: How Companies Can Link into the Social Web of Consumers |
Social networking and other new technologies have given rise to the “social consumer.” Navigating this new world requires a new way of approaching customer relationship management, commonly called social CRM. In addition to their traditional CRM tools and processes, companies must rethink their product, channel, and customer strategies in order to build an entirely new relationship with their customers through greater transparency. download (437kb, PDF) > |
|
Global Talent Innovation: Strategies for Breakthrough Performance |
Managing talent well creates value for companies — that’s the bottom line. To remain competitive, particularly in difficult times, they must not only cut costs; they must also seize future advantage by revamping their talent management strategies and developing more innovative value propositions, in line with the changing demographics of a more mobile, diverse, and global workforce. download (1.2mb, PDF) > |
|
Zero-Based Cost Management: A Holistic Approach to Managing Budgets |
In the current economic environment, there is increasing interest in the concept of "zero-basing" cost and activity levels. Although the concept of zero-basing is understood in theory, it is often misapplied. A structured and pragmatic approach to zero-basing can help achieve sustainable cost reduction while protecting key activities./p> download (465kb, PDF) > |
|
Sales Force Design: Assessing Stark Choices and Getting It Right |
The structure and productivity of sales forces have turned into major concerns for many C-level executives. Every sales force redesign needs to address two fundamental questions: How many sales forces are needed? And what is the optimal reporting structure? It also needs to be executed flawlessly. download (382kb, PDF) > |
|
Which Innovation Efforts Will Pay? |
Many companies struggle to boost the returns they achieve on their R&D projects. Booz & Company partner Alexander Kandybin discusses the benefits and the limits of the Return on Innovation Investment (ROI2) methodology in this article from the MIT Sloan Management Review. download (1.1mb, PDF) > |