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      Case study

      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.

      • min read

      At a Glance

      • 56 point rise in membership index

      The Full Story

      The Situation

      • 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

      Our Approach

      The client asked Bain to develop full potential plan grounded in analysis of the core business versus adjacencies:

      Our Recommendations

      Bain evaluated initial focus areas based on market attractiveness and client likelihood of success:

      The Results

      Bain developed a growth strategy that would refocus the company on its core business:

      * We take our clients' confidentiality seriously. While we've changed their names, the results are real.
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      How We've Helped Clients

      Повышение эффективности деятельности Turning bottlenecks into growth opportunities

      Read case study

      Full-potential prescription makes pharmacy client better

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      Слияния и поглощения A healthcare giant overcomes merger risks for global growth

      Read case study

      Хотите продолжить обсуждение?

      Мы помогаем мировым лидерам бизнеса решать самые сложные проблемы и находить наилучшие возможности. Работая вместе, мы добиваемся устойчивых положительных изменений и результатов.

      Bain Insights. Our perspectives on critical issues global businesses face in today's challenging environment, delivered monthly.

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