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Featured Health Care, Strategy & Analysis Article, Three imperatives improving US health care

December 2008 

Three imperatives for improving US health care

Making health care more affordable is the key to making the US system sustainable. We can bring three of the largest sources of underlying costs and their growth under control.

Recent Thinking

The Archive

2008

2007

2006

2005

2004

  • August 2004 

    Battling AIDS in India

    The head of the Bill & Melinda Gates Foundation’s Indian initiative on AIDS explains the importance of creating a vast network of public-private partnerships to tackle the problem.

  • February 2004 

    How to control health benefit costs

    In a few years, the average Fortune 500 company may be spending as much on health benefits as it earns in profits. Something’s got to give.

2003

2001

  • December 2001 

    Insuring Taiwan's health

    Taiwan may be the world’s second-healthiest country, but its national health insurance system is facing insolvency. If you want to cover everyone, you can’t cover everything.

  • November 2001 

    A new model for disease management

    So far, excessively high costs have torpedoed most plans for managing diseases over time. But emerging technologies could change all that.

  • February 2001 

    A point of light in Mumbai

    By developing a low-cost distribution channel, an Indian nonprofit organization can deliver child education and nutrition programs for just a few dollars a child per year.

2000

  • November 2000 

    Health on-line— the best will get bigger

    The major medical centers of the United States already have the best brands, the best performance records, and the most customers. The Internet could make these institutions even more successful.

  • June 2000 

    Rethinking Dutch healthcare

    McKinsey’s Amsterdam office teamed up with health care experts to find a way of preserving the quality of Holland’s health care system while easing the great strains it faces.

1999

  • February 1999 

    Payor or preyer?

    The M&A frenzy among HMOs will continue. Either hunt or be hunted. Needed: $2 billion in market cap protection.

1996

  • November 1996 

    The productivity of healthcare systems

    Doctors and hospitals respond predictably and consistently to their economic incentives. As a result, there are wide variations in how patients get treated in the US, Germany, and the UK.

  • August 1996 

    Managing risk in healthcare

    Why margins are becoming risk premiums. Do you understand your exposure? As in banking, risks can be unbundled.

  • February 1996 

    The new value creators in healthcare

    The past decade has seen a significant shift in the US health care industry as managed-care segments gained market share. But as the industry continues to transform, a remarkable surge by smaller health-care competitors is taking place.

1995

  • August 1995 

    Will HMOs pass their physical?

    Between March and August 1995, the top 25 HMOs saw market value drop 25 percent, but it’s possible for HMOs to lead consolidation in a favorable direction.