Global healthcare case studies and best practices

HealthCast: Global Best Practices in Bending the Cost Curve

Bending the Cost Curve is a global symposium series where leading practitioners share emerging best practices that "bend the cost curve" using a case study approach.

HealthCast, a PwC flagship publication, distils 9 themes which emerged from the case studies featured during the symposia and offers 3 actionable implications for industry leaders.

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From PwC's Bending the Cost Curve series

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If health systems are to meet 21st century demands, they must continually address new and evolving business models. This calls for strong, intelligent and flexible leadership that can navigate complex political and economic environments.

Engaging the citizenry in Ontario's publically funded health system

  • Redefining primary care and wellness: Getting in Australia's headspace

    Australia's mental health program shows that with focus on prevention and partnerships, models of care for chronic illness management that are easily accessible and incorporate new technology can overcome obstacles in traditional care.

  • Engaging the citizenry in Ontario's publically funded health system

    Canadian citizens and health professions gather to learn about and discuss the country's most pressing policy issues, resulting in proposals to reduce inefficiencies and achieve system sustainability.

  • How SMS can be used to fight drug counterfeiting

    A Non-government entity and a mobile phone company collaborate to create SMS-driven drug verification system to prevent the spread of counterfeit drugs, benefitting consumers, pharmaceutical companies and governments alike.

  • Leveraging best practices to achieve near universal healthcare in the UAE

    With Daman, UAE establishes user-accessible insurance system that incorporates efficient cost, treatment and payment processes while maintaining competition in the market place, achieving in 99% participation in less than five years.


Public-private partnerships (PPPs)

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PPPs that move 'beyond the build' of infrastructure to clinical service delivery bring more value to stakeholders by leveraging the efficiencies and innovations of the private sector.

PPIP incorporates integrated care with traditional PPP model in Valencia

  • PPIP incorporates integrated care with traditional PPP model in Valencia

    The Alzira government partners with a consortium of private providers to build end-to-end healthcare solution, the effective coordination of care in tandem with quality incentives has delivered better access, higher satisfaction, and 25% lower cost.

  • [1 of 3] PPP model proves successful in even the poorest of countries

    In Lesotho, healthcare consortium resurrects 100-year old hospital as part of an integrated model including maintenance, recruitment and provision of equipment and pharmaceuticals, drastically improving access and quality of care in a politically and economically complex environment.

  • [2 of 3] Political leadership inspires health initiative in small African country

    Through clear political vision, Lesotho's Minister of Finance spurs creation of a non-traditional PPP despite embedded belief in government-run health systems, redefining the role and skills of government in this space.

  • [3 of 3] Expanding PPPs beyond design, build and operation

    Netcare consortium enters into fully-integrated PPP in a poor, emerging country, not only building a state-of-the-art hospital but also investing in training, management and community education. The risky investment has proven sound with positive cash flows expected in ten years.


Integrated care

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Integrated delivery systems that align incentives between payers and providers can bring more value to stakeholders, but such transformation has to be carefully managed to holistically modify practices and gain clinician and public acceptance.

  • Understanding the role of IT in integrated care solutions

    Kaiser Permanente effectively integrates healthcare services by implementing a robust information technology and measurement system enabling more cost-efficient and quality delivery of care with high consumer satisfaction.


'Care anywhere' — the enabling power of technology

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New, technology-dependent business models are being used to tackle chronic illness management and primary care. Telecommunications and mobile health companies feature large in these new models, allowing chronic care to become available to even the poorest of populations.

Apollo increases access to millions of Indians using mHealth

  • Apollo increases access to millions of Indians using mHealth

    Apollo Hospitals in India provides healthcare access to poor rural populations through triaged health information and advice contact centres; mobile device monitoring and mobile clinics will further expand the health services available to these previously un-served populations.

  • Mobile coaching empowers diabetes patients

    WellDoc's mobile application allows patients to get instant feedback on glucose and other self-care data, empowering patients to make better daily decisions and reducing the number of costly treatments that treat episodic events.


Data analytics and measurement

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Healthcare is taking advantage of digital technologies as the public sector globally focuses on developing and implementing institutionally based electronic medical records. At the same time, personal mobile healthcare technologies are proliferating, empowering healthcare systems by making available new information on patient preferences, service delivery and clinical outcomes.

Singapore's national electronic health record sets standard for health IT

  • Comparative effectiveness guides health practices in the UK

    The British National Institute for Health and Clinical Excellence (NICE) incorporates social and economic factors when analysing medical treatments, comparisons help to further evidence-based medicine data and improve both quality and efficiency of healthcare organisations.

  • Singapore's national electronic health record sets standard for health IT

    Government investment in comprehensive EHR system has led to additional applications in analytics, research informatics and consumer outreach benefitting medication management and adherence to best practice.

  • Pioneering the measurement of healthcare quality

    Measurement systems, like the one developed by the National Committee for Quality Assurance in the United States, incentivise providers to make quality improvements by increasing transparency and accountability to large employers and individual patients.

  • Lessons learned from Dutch privatization reform

    Dutch healthcare reform set out to increase competition and integrate care succeeds in eliminating patient waitlist and increasing access, but questions remain as to insurer profitability, quality benchmarking and prevention initiatives.


Process improvement in hospitals

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The adoption of process improvement methodologies in hospitals can significantly increase productivity, which not only cuts operating costs, but also creates new capacity within existing infrastructure.

  • Reducing the cost of heart surgery in India through process innovation

    Narayana Hrudayalaya hospitals in India standardise complicated heart procedures enabling the health system to serve a high volume of patients while maintaining high quality standards, driving down the cost of an open heart surgery by $300.

  • Lean management transforms Quebec's hospital network

    Engineers and hospital employees in Quebec collaborate to eliminate waste, resulting in more capacity, shorter length of stay and greater patient satisfaction; the system is both cost effective and sustainable.


Caring for an ageing population

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Traditional high cost delivery centres for the elderly, such as tertiary care centres, can radically improve their care and business model. Advances can reduce the cost of care and free up institutions to become more productive in other service lines.

Tackling chronic disease treatment through complementary models of geriatric care

  • Tackling chronic disease treatment through complementary models of geriatric care

    Six models of geriatric care were given the opportunity to test approaches that integrate and improve quality of care for the elderly.


Precision medicine

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Healthcare is moving from a population-based to a precision-based industry. With the blossoming of personalised medicine, this new era of customisation should reduce costs and stimulate noticeable quality improvements.

  • Revolutionising pharmacogenetics

    Medco, the largest pharmacy benefit program, leveraged a massive database of patient information to reorganise operations to address disease-specific areas and deliver customized therapeutics, giving them a competitive edge as genomics diagnostics become more developed in the healthcare market.


Creating sustainable health economies through bioclusters

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Bioclusters can revitalise entire cities and regions by creating new and vibrant healthcare economies that provide specialty services, professional education and basic science and clinical research. Bioclusters promote innovation and job creation to enrich regions, acting as shining examples of public-private cooperation.

Biocluster in Pittsburgh Regenerates Economy Around Health Service, Training and Research

  • Biocluster in Pittsburgh regenerates economy around health service, training and research

    University of Pittsburgh Medical Center's (UPMC) biocluster incorporates over twenty academic and medical facilities dedicated to cutting-edge clinical research. The Center has attracted large amounts of government funding, bringing young, highly educated people to the Pittsburgh area and revitalising the local economy.


Patrick Figgis
Global Leader
Health Industries
Tel: + 44 (0) 207 804 7718
Christine Walters
Global Health Industries
Marketing Director
Tel: +1 (646) 471 3359
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Past HealthCast reports

Past HealthCast reports

Highlight video

Bending the Cost Curve is a global symposium series designed to create a network for sharing global best practices that can "bend the cost curve" while increasing access and quality in healthcare.

Video on Bending the Healthcare Cost Curve