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Executive Insights

Volume XIX, Issue 1 | January 5, 2017 | By: Clay Heskett, Helen Chen, Peter Rosenorn, David Barrow Four forces driving global healthcare trends Major causes of morbidity Healthcare spend for selected countries (2015 vs. 2018) Across regions, payers are becoming more rigorous at restricting access to medicines

Developing therapeutics and medical devices for global healthcare markets remains a risky proposition. The medical innovations now coming to market are remarkable and reflect the reaction of healthcare companies towards innovation a decade ago. Globally, the biopharma and medtech sectors are being shaped by four significant forces, which will determine the success factors for the next generation of healthcare products. In this Executive Insights, L.E.K. examines each of the key forces driving change.

Volume XVIII, Issue 46 | December 2, 2016 | By: Kevin Grabenstatter, Wiley Bell Healthcare Reform Initiatives

What will the transition to a Trump administration mean for the healthcare industry’s key constituents? While experts of all stripes are asserting predictions, they are typically long on speculation and short on evidence. In a moment of political uncertainty, it is most useful to know which issues and stakeholder “tensions” to watch closely. This Executive Insights will highlight some of these questions.

Volume XVIII, Issue 34 | October 10, 2016 | By: Zafar Momin Growth in incomes and healthcare expenditures for selected SEA and Asian countries (2010-2020F) Growth in middle-class population in SEA Share value index of SEA healthcare sector and selected indices Financial ratios for selected hospitals Financial ratios for selected hospitals

Southeast Asia (SEA) is offers opportunities for private healthcare provider investments in light of increasing demand for private health services that are supported by strong growth fundamentals and the inherent gap in public healthcare infrastructure. This Executive Insights discusses the key challenges and investment outlook.

Volume XVIII, Issue 30 | August 9, 2016 | By: Peter Smith L.E.K.'s Seven Step Dynamic Performance Management Process Metrics that Reflect How the Business Really Works Economic Framework to Model Future Cash Flows Critical KPI Identification KPI Prioritization Matrix Data Capture Process and New Supporting Technologies

There are only a few KPIs which have a large influence on profitability – but defining and understanding how they interact with each other can be difficult. L.E.K. has developed a Dynamic Performance Management tool which can help businesses to address this problem and improve profitability by more than 30%.

Healthcare Spotlight 4 | June 10, 2016 | By: Wiley Bell, Joan Kim

Participating in the public health insurance exchanges established by the Affordable Care Act (ACA) has been a tremendous financial strain for most health plans. In this Executive Insights Healthcare Spotlight, we examine how a few profitable exchange plans may yield some insights — and raise key questions — as to how sustainable exchange plans will evolve. What are the lessons for a more sustainable exchange future?

Volume XVIII, Issue 11 | April 18, 2016 | By: Bill Frack History of Medicaid (1970-2017F) Total Full-Benefit Medicaid Enrollment (2010-17F) Comprehensive Risk-Based Managed Medicaid Revenue (2010-2017F)

To survive and thrive in this new world order, payers must be aggressive in order to meet the shift in state program requirements. In this Executive Insights, we draw on our experience to detail six points that Medicaid payers should focus on in order to win RFPs and maximize profit potential in this growing Medicaid managed care environment.

Healthcare Spotlight 3 | April 1, 2016 | By: Joan Kim VCCN Carelytics

In this Executive Insights "Healthcare Spotlight," we discuss our work with the Vantage Cancer Care Network (VCCN) model and the five phases that ensure both oncologists and payers successfully implement and execute oncology-specific value-based contracts.

Volume XVIII, Issue 6 | March 15, 2016 | By: Wiley Bell, Kevin Grabenstatter Large U.S. Metro – Total Healthcare Costs (THC) Coverage Under High-Deductible Health Plans (2006-15) and Average General Annual Deductible Among Covered Workers (2006-15) Current Cost and Quality Distribution in U.S. Metro Areas for Cardiac Surgeries

In the first of a multipart Executive Insights series on consumerism in healthcare, we examine why a more engaged consumer — despite the increasing optimism — will not be nearly enough to bend the healthcare cost curve or even stop the rising rates substantially.

Healthcare Spotlight 2 | February 4, 2016 | By: Joseph Johnson How HCIT Solutions Create Value

In this Executive Insights "Healthcare Spotlight," we help you maximize the value exchange between your organization and your customer, driving greater medical cost savings, increasing operational efficiency, boosting revenue and improving benefits to stakeholders with the new product features and services being developed through HCIT vendors.

Healthcare Spotlight 1 | December 31, 2015 | By: Joan Kim Are your in-network physicians a source of leakage to out-of-network facilities?

In this Executive Insights "Healthcare Spotlight," prepare for the 2016 benefit year and learn how to manage out-of-network (ONN) utilization tightly and prepare for when members do try to use ONN services. Setting the precedent for the benefit period now could save money in the long run.

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