McKinsey’s Health Systems Interest Group, in collaboration with the McKinsey Global Institute, has surveyed health care reforms across the globe. Together, we have developed a framework to help those who shape the system — policy makers, industry leaders, and stakeholders such as educators and patients—to understand both the kinds of reforms being tried and the ways they act on supply and demand in the health care market. The system’s shapers can use this knowledge to develop a coherent reform program for a nation’s health care system. The framework outlines seven domains of reform, and all of them are meant to cut costs, which is the great health care challenge of the century.

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