Innovative players shaping care delivery competition

Eight sources of emerging disruption

Hospitals, health systems, and physician groups face threats of disruption on several fronts. Long-standing industry pressures—unsustainable cost trends and shifting consumer expectations—have not abated, which has attracted the attention of out-of-industry companies and private equity-backed entrepreneurs who bring new solutions to bear. New competitors see opportunities to rebuild the delivery system from the ground up, pioneer new business models, and push the boundaries of clinical and technological innovation. Many are driven by a limited strategic focus that is quickly adaptable to market shocks, enabling them to outmaneuver incumbents who have too many strategic directions and maintain a risk-averse culture to transformational change.

To protect market share, incumbent providers must understand how non-traditional competitors are establishing a differentiated value proposition and positioning themselves for growth. Our four-part Innovative Players in Care Delivery series provides an overview of the major trends and innovative players emerging in the market across eight sources and four domains: convenient care, primary care, specialty care, and payer networks.

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  1. Part 1: Convenient Care

    A growing network of alternative ambulatory care options, including retail clinics, urgent care centers, virtual care providers, and home care providers that are appealing to consumers by offering on-demand access to care and superior levels of service.

  2. Part 2: Primary Care

    Medical groups that are creating a direct-pay market by offering concierge-level services and/or partnering with payers to manage patients with polychronic health needs.

  3. Part 3: Specialty Care

    Providers that appeal to purchasers by building care models for a specific disease state, condition, or procedure, rather than taking a one-size-fits-all approach.

  4. Part 4: Payer Networks
  5. Health plans and independent third-parties that are selectively driving business to high-performing facilities—on their terms.