Articles

Hospital networks: Evolution of the configurations on the 2015 exchanges

Updated 2015 network data, including a comparison of networks offered on the 2014 and 2015 exchanges, insights into how networks’ pricing structures are evolving, and insurer and provider participation.

Latest insights

Articles

2015 OEP: Insight into consumer behavior

As the Affordable Care Act’s (ACA’s) second individual market open enrollment period (OEP) came to a close in February, McKinsey’s Center for U.S. Health System Reform conducted our seventh national online survey to discern insights into how the individual market has evolved.

Reports

Medicaid & CHIP enrollment update

Observations based on analysis of Medicaid/CHIP enrollment estimates through November 2014.

Articles

The access imperative

Improving outpatient access can deliver a triple win for payors, providers, and patients.

Articles

Risk adjustment for retrospective episode-based payment

This article suggests guiding principles and proposed methodologies for risk adjusted episode-based payment.

Short take

Should providers launch health plans?

Many health systems are considering launching health plans, assuming that because they can deliver efficient, outstanding care and superior customer service, they will succeed with a health plan. This assumption is not always correct.

Articles

Lessons from a veteran diversity advocate

The former CEO of Kaiser Permanente describes the formative experiences that led him to champion gender diversity, and reflects on the ways that diversity benefits both leaders and organizations alike.