A healthcare payer sets its own long-term health strategy
An integrated healthcare payer with low market share and a portfolio weighted toward declining market segments asked Bain for help developing a long-term growth strategy. Bain developed a full-potential plan based on its analysis of the company's core business and adjacent opportunities. The growth plan is now underway and account share improved in less than one year.
- Healthcare Payer Co was an integrated health system operating in the Eastern part of the US (before US healthcare reform)
- Client had low market share and its portfolio was heavily weighted towards fully-funded HMO and employer-based business, both of which were declining market segments
- Healthcare Payer Co faced declining membership and market share in a local, scale-based business
- Company was losing relevance in the region
View Approach
The client asked Bain to develop full potential plan grounded in analysis of the core business versus adjacencies:
View Recommendations
Bain evaluated initial focus areas based on market attractiveness and client likelihood of success:
View Results
Bain developed a growth strategy that would refocus the company on its core business:
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