Providers are experiencing massive transformation in the US healthcare economy. Many are turning to consolidation to navigate challenges like profit compression, talent shortages, new payer and customer dynamics and more.
But the traditional M&A playbook no longer applies.
With synergy realization so important to navigating disruption, providers need a new M&A mindset. They can find it in comparable industries that that are capturing more value post-merger by approaching M&A from a holistic perspective. This means abandoning the belief that healthcare is so unique that best practices from outside rarely apply.
Accelerating to nowhere
While health systems have embraced M&A in record numbers (see Figure 1), the results have largely been underwhelming.
Lessons from the outside
These disappointing outcomes are a stark contrast from what companies in other asset-heavy, service-oriented industries—such as telecommunications, financial services and hospitality—experience after consolidation (see Figure 2).
These industries have experienced M&A drivers and characteristics similar to what providers face today. Telecom had two decades of transactions driven by the need for vast networks, which fueled innovation and productivity. Financial services consolidated to pool resources to pursue high-risk product lines. More recently, hospitality players combined forces to compete with customer experience dynamos eating up market share.
The new value mindset
What do these industries do in M&A that providers should be doing too, to realize value? In addition to aligning the operating model, they approach M&A with a value mindset. Facing scrutiny from shareholders, analysts, regulators—and their own performance-focused boards—these newly-formed companies have no choice but to double-down on value.
This focus is alien to most providers. However, they can begin to infuse a value mindset into their M&A strategies by applying three keys to success from these other industries:
- Win the customer. Before transaction close, merging entities in other industries often appoint a customer “maestro” to anticipate people’s concerns and orchestrate the new customer dynamic. In healthcare, M&A is a way for providers to address the customer access challenges that have plagued the industry and completely redefine customer experiences.
- Embrace a zero base. Starting with a defined, aligned operating model, other industry acquirers capture cost synergies from a zero base to realize value from Day One (see Figure 3). They target big bets like third-party spend, IT and supply chain costs. Again, Wall Street expects nothing less than bold cost-savings ambition. No “sacred cows” allowed.
- Rally around culture. Companies in other industries leverage integration more intentionally as an opportunity to multiply value by taking the best aspects of the two cultures and setting a new standard that elevates the combined culture. They understand culture as a source of competitive advantage that is infused in and reflective of all aspects of the business on a day-to-day basis.
Fulfilling the promise
Higher prices, higher costs and mediocre customer experiences are not what providers want from mergers. Far from it. Health systems that throw away yesterday’s M&A playbook—and take a page from other industries’ approaches—can fulfill the promise of consolidation. They can create synergies that improve the core business and jumpstart new customer propositions. If the providers do this well, future industries undergoing consolidation may look to healthcare as a model for driving value.
1 Net Promoter, Net Promoter System, Net Promoter Score, NPS and the NPS-related emoticons are registered trademarks of Bain & Company, Inc., Fred Reichheld and Satmetrix Systems, Inc.
2 Accenture 2018 National Patient Experience Provider Benchmark Study