US healthcare management consulting market tops $50 billion

17 September 2018

The US management consulting market relating to healthcare is booming. Last year it was valued at around $45 billion, with that figure projected to break the $60 billion barrier by the end of 2019.

Consultants are set to continue to benefit from on-going pressures faced by hospitals, health systems, medical device and pharmaceutical manufacturers, payers, insurers, and physician groups. In order to cope with their large change programs, health industry players are increasingly seeking external help, which has seen healthcare management consulting boom over the past few years.

According to analysis of figures from The Black Book, the main drivers of growth are dominated by the need to adopt new technology. Healthcare IT infrastructure upgrades can help facilitate broader changes in organisations, and it is unsurprisingly the top driver of growth for healthcare consulting as a result. Healthcare IT demand drove 81% of growth, followed by the adoption of cloud technology in healthcare at 74% and increased industry digitalization, at 71%.

This aspect of demand is largely being emphasized by healthcare providers having to adapt to new disruptive presences in the industry. New market competitors often boast an improved understanding of innovative technology, allowing them to be more agile and responsive to patient and client needs. One example of this is trillion-dollar company Amazon, which announced it was entering the fray in the sector this year.

Thanks to these pressures, nearly two-thirds of providers participating in a survey by market research professional services firm The Black Book said they will seek advisors to optimize their current EHR & RCM systems (61%), while 46% said they plan to access experts in software training and implementation in 2019.The US healthcare management consulting marketIT consulting is therefore around 64% of a $53 billion industry, involving the implementation of software, information systems, systems integration, and optimization. This is because while organizations can purchase an advanced piece of software, they are not always able to implement it with existing infrastructure systems, or they may not have the staff on-hand to solve such a compatibility issue.

Elsewhere, the demand for value-based care was also a key driver, with 39% of respondents suggesting they will seek advice in this area, alongside compliance issues (33%) and big data, decision support, and analytics (31%). Another area that is in demand in healthcare is mergers & acquisitons, and so M&A support is on the rise, too.

Although increasingly concerning health organisations, cybersecurity, interoperability, and healthcare consumer initiatives in provider and payer organizations were not among the top ten consultant engagements prioritized for 2018 and 2019. 

With huge issues related to ballooning costs and aging populations, healthcare consulting can expect to see continued growth in the coming years. Healthcare management consulting has expanded by 18% in the past year, growing by $8 billion to hit a value of $53 billion in 2018. The rise of the sector is anticipated to continue, as well, with estimating that it will be worth around $63 billion by the end of 2019.


When engaging consultants, clients can of course plump down cash for large firms such as McKinsey, BCG, the Big Four, and other major players in the global consulting industry. However, among 1,586 buyers of healthcare consultancy services, many said they will be seeking multiple-sourced consultants to work on engagements and projects together. These include single shop consultants, single freelancers, group purchasing organizations, HIT vendors, networks of freelancers, and boutique advisory firms, as well as major consultancies. As such, they don’t want to become pigeonholed into one method or one preferred vendor.

The findings ultimately point to the fact that healthcare buyers are trending away from using single large consulting groups to execute a substantial project to one with more arrangements where healthcare clients press multiple consultants and advisory firms to collaborate on project engagements. While it risks the dominance of the large consulting firms in the market, it also means niche, highly specialised firms should revisit their strategy.

Healthcare executives are now increasingly thinking that their organizational interests are best served by retaining niche firms. The key is that cooperation between boutique consulting firms with complementary portfolios can make for the good of provider ecosystems, which can engage in initiatives with track records of cooperation and collaboration for research updates.

The researchers further highlighted that freelance and very small niche advisors are “redrawing the industry lines, as healthcare buyers are more and more open and given tools to tap into the gig economy.” Ultimately, this is pushing traditional consulting firms – from large to small – to explore innovative business models, while forcing more collaboration in the market. One of the solutions consulting firms are trying to use to their advantage is the incorporation of more technology-based solutions – leveraging tech that automates consulting capabilities and embraces digital tools for operations.


Numerous consulting firms receive top marks for corporate equality

04 April 2019

A large number of consulting firms received perfect 100-point scores in the Human Rights Campaign’s 2019 Corporate Equality Index, which measures the best workplaces for LGBTQ equality.

The Corporate Equality Index (CEI) is a benchmarking survey that evaluates LGBTQ corporate policies and practices including non-discrimination protections, domestic partner benefits, transgender-inclusive healthcare benefits, competency programs, and public engagement with the LGBTQ community. Launched in 2002, the benchmarking report has grown from 319 to 1028 participating companies (with 500 or more employees).

Participating firms fill out the CEI survey, with the Human Rights Campaign (HRC) Foundation investigating and cross-checking policies and practices and deducting points if case law or news accounts uncover discrimination at a firm. The HRC is America’s largest civil rights organization working for LGBTQ equality.

Companies are scored across the categories of workforce protection (30 points), inclusive benefits (30 points), and supporting an inclusive culture and corporate social responsibility (40 points), with 10 points for internal training and education best practices, 10 points for an LGBTQ employee group or diversity council, 15 points for three distinct efforts of outreach or engagement with the LGBTQ community, and 5 points for supplier non-discrimination standards and philanthropic giving guidelines.

Numerous consulting firms receive top marks for corporate equality

Among the companies that achieved a 100-point score were a plethora of consultancies, including A.T. Kearney, Accenture, AlixPartners, Aon, Bain & Company, Booz Allen Hamilton, Boston Consulting Group, Capgemini America, CBRE, Deloitte, EY, Korn Ferry, KPMG, Marsh & McLennan Companies, McKinsey & Company, Navigant Consulting, PwC, Publicis Sapient, Robert Half, RSM US, Willis Towers Watson, and ZS.

We are delighted once again to be recognized as a best place to work for LGBTQ+ equality. This designation represents our commitment to our people, enables us to continue to attract the best talent, and in turn makes us a better partner for our clients," Simon Freakley, AlixPartners CEO, said. 

Bain & Company earned a perfect score for the 13th year in a row. "Diversity is key to our mission of building extraordinary teams that deliver unparalleled results for our firm and our clients, and we remain committed to attracting and developing a team that both represents and fully embraces this diversity," Russ Hagey, the firm's chief talent officer, said.

Bain has rapidly expanded its LGBTQ alliance network BGLAD, with global membership growing by more than 36% last year.

“We are strong advocates for the LGBTQ community and we’re happy our policies and benefits package reflect the needs of our diverse firm," Brian Bloom, vice president of Korn Ferry's global benefits, said

Consulting firm ZS participated in the CEI survey for the first time, also earning a 100-point score. The firm attributed its strong showing, in part, to its Pride@ZS network which promotes diversity and inclusion though education, social events, and community outreach.

"What I'm most proud of is that this award reflects the way we've been doing business and treating people for years," Natalie Hanson, ZS principal and Pride@ZS leader, said. "Achieving 100% did not require us to make any substantive changes to our policies or practices."

Once a homogeneous “old boys club,” management consultancies have been hard at work in recent years to become more diverse and inclusive organizations. Outside of any moral or regulatory imperative, diversity initiatives allow the firms to attract and retain the widest and best pool of talent, while reaping the productivity and effectiveness bonuses that diverse teams bring to the corporate table.

"The top-scoring companies on this year's CEI are not only establishing policies that affirm and include employees here in the United States, they are applying these policies to their global operations and impacting millions of people beyond our shores," Chad Griffin, HRC president, said. "Time and again, leading American businesses have shown that protecting their employees and customers from discrimination isn't just the right thing to do – it's also good for business."