A Major US Healthcare Company Seizes an Opportunity to Transform its Business

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A Major U.S. Healthcare Company Seizes an Opportunity to Transform its Business

CASE STUDY

A MAJOR U.S. HEALTHCARE COMPANY SEIZES AN OPPORTUNITY TO TRANSFORM ITS BUSINESS WWW.FULD.COM

Taking Giant Steps

In a sector being rapidly redefined and refigured on all sides, a major U.S. healthcare company boldly decided to transform its business and delivery model from top to bottom. In a series of tightly integrated engagements, Fuld + Company enabled the client to understand the current and future state of its market, stress test possible strategies, develop a set of future-tested strategic options, and determine what implementation would require.

Case Summary

The result: The company is now positioned to become the most affordable, highest-quality care provider and health plan option across all market segments.

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The Affordable Care Act as a Springboard Key Business Challenges

The insurance exchanges established by the Affordable Care Act created unprecedented market and pricing challenges for healthcare companies. Our client, wanted to be sure to win a healthy share of that market. Meanwhile, other powerful forces continued to roil the industry: changing patient demographics, new regulations imposing more risk on providers, and widespread calls for cost containment. Our client saw an opportunity not just to compete aggressively on the new exchanges but to remake its entire business in the face of these powerful forces.



Embracing a Comprehensive Challenge Key Business Challenges

To determine what to transform and how to transform it presented an all-encompassing challenge. The company needed to:

Understand the current and trending market opportunity under its existing model

Explore opportunities for new provider care delivery and clinical practice models

Identify and validate opportunities to capitalize on future market opportunities

Determine implementation requirements



Following a thorough analysis of the market and rigorous preparation of the client’s team, we pursued a comprehensive scenario-based strategic planning engagement that yielded four comprehensive descriptions of plausible future market conditions and culminated with a carefully structured, two-day scenario planning workshop. The workshop’s rigorous, probing sessions were designed to elicit strategies for business transformation while taking into account future unknown variables. These intensive exercises in scenario planning enabled the client to:

Identify and develop relevant, scenario-based strategies to best position the company for future success amid changes in the U.S. healthcare industry

Assess transformational strategic options in terms of organizational models, pricing, staffing, protocols, clinical operations, and facilities, among other things, and their impact on the design and offer of new services

Develop a set of core and contingent strategies to make sure the strategic plan for transforming the business could withstand unpredictable future events

Prioritize strategies and identify implementation needs and challenges

Finding the Path Forward The Fuld Approach



Taking the Market by Storm Key Business Impact

Benefits of the project were realized almost immediately – the company won an overwhelming share of the market on state exchanges. For the near term, leaders have prioritized their tactics for implementing their new strategies, including a novel approach to segmentation that goes far beyond standard industry practice. For the long term, they have redefined how they will deliver care through their people, facilities, and technology to lower costs and improve outcomes in a way that will delight regulators, employers, and patients.



Future-Proofing with Multiple Scenarios The Fuld Review

In setting strategic direction, companies all too often tie their fortunes to what they believe will be the future, preparing for only one eventuality. Not with scenario planning. Our client developed a set of core strategies tested for resiliency within multiple, different, and plausible scenarios. In addition, they developed contingent strategies that are effective only under certain conditions, providing the company with increased strategic flexibility as events unfold.

No one can predict the future. But you can prepare for it:

Plan a strategy for each plausible scenario.

Find the commonalities.

Then position the organization to move ahead – nimbly and with confidence.



Think a similar solution could work for your organization?

CONTACT US fuld.com/solutions


http://bit.ly/contact-HC



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About Fuld + Company

WHO WE ARE

Since 1979 Fuld + Company have pioneered competitive intelligence, and today we work with leading companies worldwide to deliver the competitive and market insights they need to make better business decisions. We don’t rest on our history and past successes. This means working hard to deliver uncompromising analysis that generates sound advice and earns us enduring partnerships with our clients.

WHY CHOOSE US

We are driven to expose our clients to insights about their industry, their competition and a changing market; designed to help avoid surprises and industry shocks. Through deep research, penetrating analysis and strategic gaming + advisory expertise, our team of professionals help you identify and solve tactical and strategic challenges. We help reduce the risks associated with business-critical decision making.

COMPETITIVE + MARKET INTELLIGENCE

Competitive + Brand Insights

War Games / Competitive Simulations

Market Analysis, Share + Sizing

Supply Chain Mapping

GO-TO-MARKET STRATEGY

Brand + Product Positioning / Launch Support

Product Portfolio Roadmap

New Market Entry / Segmentation

Value Chain Analysis

Life Cycle Management

Win / Loss Bid Support

CORPORATE STRATEGIC PLANNING

Early Warning + Scenario Planning

Sales Force Effectiveness

Merger/Acquisition + Licensing

Innovation Strategy

Business Model / Industry Convergence



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A Major US Healthcare Company Seizes an Opportunity to Transform its Business

Healthcare

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