McKinsey August, 2019
Gunjan Khanna, Rob May, Neha Patel, and Nithya Vinjamoori

Why nonhospital-provider segments are primed for growth—and why that matters.

Nonhospital-provider segments—everything from diagnostics and pre-, non-, and postacute services to physicians and other healthcare professionals—could account for almost 55 percent of projected profit pools by 2021, according to McKinsey research. That is the big picture.

Look more closely and important details become apparent. One is that, as the healthcare environment changes, different segments are likely to deliver sharply different profit outcomes (Exhibit 1). Three trends in particular—in utilization, reimbursement, and efficiency—will shape the future.

Utilization

Because of shifts in consumer preferences, technology, and the payer imperative to redirect care to lower-cost settings, utilization rates for different healthcare-provider segments are changing. For example, utilization of...

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Topics: ASC, Health System / Hospital, Physician, Post-Acute Care, Primary care, Provider, Radiology
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