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Healthcare 2020 To win in a shifting profi t pool, companies need to improve how healthcare is delivered By George Eliades, Michael Retterath, Norbert Hueltenschmidt and Karan Singh George Eliades is a partner with Bain Company based in San Francisco and a leader in the fi rm’s Global Healthcare practice. Michael Retterath is a Bain partner based in New York and a leader in the Global Healthcare practice. Norbert Hueltenschmidt is a partner based in Zurich and the head of Bain’s Global Healthcare practice. Karan Singh is a partner based in New Delhi and head of Bain’s Asia-Pacifi c Healthcare practice. Copyright © 2012 Bain Company, Inc. All rights reserved. Healthcare 2020 We have been talking about healthcare costs for more All of these disruptive changes will have two signifi cant than 40 years, but the worldwide fi nancial crisis and implications for the global healthcare market: subsequent climate of austerity are fi nally catalyzing change. Payers are searching for all available tools to • There will be radical changes in the relative size and stunt the growth of a sector that has successfully resisted growth of the various parts of the global healthcare cost containment for decades. Adding to the urgency profi t pool. In the past, growth by sector has been for action is an anticipated global surge in demand relatively consistent, but by 2020 and beyond, growth precipitated by several factors: an aging population with rates across sectors and geographies will diverge. chronic care needs, population and income growth in emerging markets and the potential for insurance • The basis of competition in the marketplace will coverage expansion due to health reform in the US change as well. Different ther