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According to BCG's Sanjay Saxena, the opportunity for using big data and analytics in measuring outcomes is huge. But the trick for payers and providers will be understanding the data—and knowing which questions to ask about it.

Sanjay Saxena co-heads CUHRE, Boston Consulting Group's Center for US Health Care Reform and Evolution.

Sanjay has spent over two decades working with the boards and senior management teams of leading payers, providers, and health care services companies. He works closely with venture capital, private equity, and technology firms that are looking to invest in, grow, and scale their health care businesses.

Sanjay’s expertise encompasses developing enterprise/business unit strategy; driving large-scale transformation, change, and enablement programs; leading M&A, pre-merger and post-merger integration efforts; and accelerating value realization through digital transformation, major cost-out and/or organizational restructuring initiatives.

He has published and presented on a wide range of topics such as consumerism, payer-provider collaboration, digital disruption and transformation, health system strategy, bundled payments, M&A, Medicaid, and “Duals,”value-based care, ACOs, and health insurance exchanges.

AREAS OF EXPERTISE

EDUCATION

  • MBA, Northwestern University's Kellogg School of Management
  • MD, Northwestern University’s Feinberg School of Medicine
  • BS, biomedical engineering, Northwestern University
  • BA, philosophy, Northwestern University

Publications and Videos

The Existential Threat to US Hospitals | rectangle

The Existential Threat to US Hospitals

The finances of the US health system are weak. If systemic issues are not resolved, the situation will worsen, with detrimental consequences for patient care and care equity.
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For US Hospitals, Resilience Requires Tough Choices

A chat with Sanjay Saxena, global leader of BCG’s health care payers, providers, systems, and services business, on the challenges facing US hospitals and health care systems.
In a Crowded Medicare Advantage Market, Know Thy Customer - rectangle

In a Crowded Medicare Advantage Market, Know Thy Customer

As competition grows, plans need to win their members’ trust—and their renewal—every year. Here’s how to do it.
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Health Care’s New Reality Is Dynamic, Digital—and Here to Stay

What challenges does the future hold for a fast-evolving sector that has undergone decades of change in the past 18 months?
A Post-Merger Integration Agenda for Health Care Payers

A Post-Merger Integration Agenda for Health Care Payers

Payers that take a tailored PMI approach and follow six imperatives for success will be well positioned to achieve the strategic objectives of their M&A.
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The COVID-19 Conundrum for Health Care Payers

The actions that health insurers take—or do not take—in the next three to six months will determine their ability to compete and thrive beyond the end of this year.
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Rescuing Hospitals by Resuming Care for All Patients

Public health will be immeasurably harmed if providers and facilities do not begin providing the full portfolio of patient services as soon as local conditions safely allow.
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PLAN for an Effective COVID-19 Response

Preparing Localities for Action Against Novel Coronavirus (PLAN) is a scenario-planning tool that identifies potential US supply and demand imbalances down to the county level.
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COVID-19 Is Stressing the Finances of Even the Strongest US Health Systems

Even with the federal government’s $100 billion stimulus package for the health care industry, US hospitals will still face significant financial pressures due to COVID-19.
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Staff Safety Is COVID-19 Priority for Health Care System

There may be ways to extend or improve the efficiency of care through greater community or regional collaboration. While such initiatives are certainly being contemplated by governments and health departments, individual health systems should also be actively thinking about how to collaborate or partner with others on the front end of this crisis.
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COVID - Payers, Providers, and Health Systems

Dealing with an outbreak on this scale requires solutions on both the supply and demand side, as BCG experts argue in the journal Health Management and Policy Innovation.
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Preparing for a New Kind of Shakeup in Health Care

With previously unknown disruptions reshaping the industry, incumbents must build a future-proofed business that can withstand adversity, no matter where it comes from.