Since 2019, the United States healthcare industry has experienced substantial financial pressure, with industry EBITDA as a proportion of the National Health Expenditure declining by an estimated 150 basis points (Exhibit 1). The decline has hit payers and providers particularly hard—payers’ estimated margins in 2024 could be at their lowest…
Digital payments in the B2B arena have lagged far behind consumer e-commerce, even with the big shift to digital brought about by the COVID-19 pandemic. The vast majority of B2B payments occur between small and midsize businesses (SMBs), which are the target market for the B2B financial operations platform BILL.…
Back in July 2023, researchers at the McKinsey Global Institute estimated that gen AI could unlock between $60 billion and $110 billion a year in economic value for the pharmaceutical and medical products industries, boosting productivity and innovation in domains across the industry’s value chain—from the way new treatments are…
Life science companies have traditionally kept patients and consumers at arm’s length. Pharmaceutical, biotech, and medtech companies have viewed providers and payers, not patients, as their key customers and have rarely interacted with them as end customers. This approach has had to evolve in recent years. Consumers are now accustomed…
Despite dedicated efforts across the biopharmaceutical industry to streamline clinical development, clinical trials remain complex, costly, and time-consuming. These challenges are compounded by an increasingly competitive and crowded trial landscape. Yet accelerating clinical development remains crucial—not just for patients but for the enterprise. A 12-month reduction in the clinical development…
We are in a moment of vast potential in life sciences—of diversified investments, breakthrough discoveries, and rapid expansion of therapeutics into new modalities and platforms. And AI is increasingly enabling data-driven decision-making across the product life cycle, from AI-supported drug candidate selection to real-time clinical trial site monitoring. However, overall…
Amid growing complexities, escalating costs, and a heightened demand for innovative therapies, biopharmaceutical R&D organizations are under pressure to find ways to boost their productivity. Preclinical studies are increasingly using diverse assays, complex “omics” data, and humanized models to evaluate drug candidates. Clinical trials are adopting new trial designs and…
The journey to bring new medicines to market remains long and costly, despite recent technological and process improvements in biopharma R&D. It takes about a decade, on average, from candidate nomination to launch, and study and application costs for investigational new drugs (INDs) have soared in recent years by 20–30…
Brazilian farmers have endured multiple challenges since 2023, including crop failures, commodity price declines, and intensified droughts, rain, and wildfires. The result is greater caution, with two-thirds of producers expecting profits to remain stable or decrease in 2024, according to a McKinsey survey. Rising input costs were Brazilian farmers’ main…
During the past five years, healthcare stakeholders’ expectations of sources of industry growth and profits have shifted toward alternative subsegments. For example, healthcare services and technology (HST) subsegments, which represented about $65 billion in earnings in 2023, will experience an estimated 9 percent CAGR during the next five years. By…
At a glance The ‘empowerment line’ measures progress toward a world where everyone’s essential needs are met. About 40 percent of the global population lives above the empowerment line—they can afford a standard basket of essential goods and services and begin to save. The rest live below the line, mostly…
Beauty is no longer in the eye of the beholder; it’s at the fingertips of the generative AI (gen AI) prompter. Gen AI could add $9 billion to $10 billion to the global economy based on its impact on the beauty industry alone, and early movers have already begun testing…
At the end of 2023, the final McKinsey Talks Operations podcast of the year concluded that there was no such thing as normal for operations leaders. Looking back on the 12 months since then, it seems the sentiment holds true—both everything and nothing has changed. In this episode, hosts Christian…
Companies in the automotive and industrial sectors are rewiring to become software-enabled enterprises. As in-vehicle software emerges as a critical differentiator, companies have started to reevaluate the role of software and overhaul their development approaches. Today, software serves as the backbone for advanced features and safety-critical functions while enhancing operational…
Self-driving cars once seemed beyond the realm of possibility, but they are now being piloted on city streets. Now another mobility innovation has emerged that could accelerate and complement autonomy: remote driving.By combining sophisticated communication systems with real-time video feeds, remote-driving systems can instantly convey information about road conditions, traffic,…
Over the past two decades, the shift from fixed-function hardware to software-defined hardware has revolutionized industries ranging from networking to mobile communications. With software-defined hardware, developers can improve products and services by continually updating software rather than undertaking more costly and time-consuming hardware upgrades. Devices that were once rigid and…
Shared autonomous vehicles (AVs) now operate in more than ten cities worldwide, including Beijing, Oslo, Phoenix, and San Francisco. More deployments are planned in other regions as AVs with level four capabilities—those that can handle most functions without human intervention—become increasingly sophisticated. While engineers have overcome many technological hurdles for…
Economies continue to face a range of geopolitical, climatic, and inflation-led challenges, with some also feeling the effects of structural issues. Against this backdrop, China, India, and the US are outperforming other surveyed economies. Among developed economies, US GDP continues to eclipse European output. Real GDP in the US increased…
Over the past two years, generative AI (gen AI) has been a rapidly evolving trend that has touched the lives of many around the globe. Which is why the design of these formidable systems must include experts from diverse backgrounds, says James Landay, a professor of computer science at Stanford…
Climate change is challenging the limits of traditional insurance by creating new risks and exacerbating old ones at an unprecedented scale. As weather events increase in frequency and severity, many businesses find themselves underinsured or unable to secure coverage. Arbol addresses these growing protection gaps with parametric insurance, which quickly…
Sector Variations in Small Business ProductivityAmerica's small businesses vary widely in productivity across different sectors. While U.S. MSMEs are on par with those in the United Kingdom, Japan, Germany, and Italy in many areas, they lag significantly in mining, transportation and storage, and administrative services. The productivity ratio of MSMEs…
Green-steel manufacturing is crucial for the steel industry and the planet, but decarbonizing the global steel production chain is a massive undertaking. Today, the global steel industry is responsible for 7 percent of global greenhouse gas (GHG) emissions. Europe is likely to be the first region to decarbonize, with CO2…
Every business has a best owner, which may—or may not—be your company. But recognizing that it’s time for a separation (which we define as spin-offs, split-offs, carve-outs, and other sales of businesses in a company’s portfolio) and actually executing separations effectively are very different propositions. Successful companies not only understand…
As companies across the globe pursue decarbonization targets and the need for green power generation grows, 24/7 clean power purchase agreements (PPAs) are playing an increasingly important role. With their unique ability to provide constant green power, time-matched to demand, these next-level PPAs are helping to unlock investment in nascent…
New opportunities are coming for organizations to use procurement to gain a competitive edge and drive sustainability impact through innovation and strategic partnerships. However, the complexities of global supply chains and rapidly changing market conditions can make it hard to capture the available value. In this episode of McKinsey Talks…
Battery technology has evolved significantly in recent years. Thirty years ago, when the first lithium ion (Li-ion) cells were commercialized, they mainly included lithium cobalt oxide as cathode material. Numerous other options have emerged since that time. Today’s batteries, including those used in electric vehicles (EVs), generally rely on one…
Gilles Dellaert is the global head of Blackstone Credit and Insurance (BXCI), which was created to bring together Blackstone’s corporate credit, asset-based finance, and insurance groups. BXCI now manages more than $350 billion in assets, accounting for the bulk of Blackstone’s total credit assets and a substantial part of the…
Today’s business leaders recognize transformation as the courageous choice required to deliver an ambitious business agenda. As we reported earlier this year, companies pursue transformation to reset the business, venture into areas of greater ambition, deliver bold growth, enable operating-model change, build new and competitive capabilities, and evolve their culture…
From bustling urban centers to small towns across the United States, the economic power and business potential of Latino communities is immense. Today, 19 percent of the US population identifies as Latino or Hispanic. According to the US Census Bureau, Latinos are expected to comprise approximately 28 percent of the…
In this episode of McKinsey on Building Products, McKinsey partner Rikki Singh speaks with Paul Yacoubian, co-founder and CEO of Copy.ai. They explore how an AI-native company such as Copy.ai leverages product-led growth (PLG), the pivotal role of analytics in the company’s customer outreach strategy, and how start-ups can scale…
In just the past few years, a series of unprecedented and fast-moving threats have disrupted organizations. How companies, particularly financial institutions, respond to these complex risks has profound implications. The COVID-19 pandemic wreaked havoc on credit models, and social media has played a leading role in accelerating bank runs to…
Transit agencies in the United States are at an inflection point. Ridership—along with revenue generated from fares—remains, on average, significantly below prepandemic levels. Costs continue to rise as agencies (which manage state and local public-transit systems, including buses, subways, light rail, commuter rail, trolleys, and ferries) pay more to expand…
Mixed-use real estate developments and neighborhoods, where office, retail, and residential property coexist, were growing in popularity well before the COVID-19 pandemic. McKinsey’s research on how the pandemic affected demand for commercial real estate underscores how these areas contribute to resilience, better quality of life, and financial success. Cities with these…
The used-car market has faced unprecedented upheaval in recent years. From 2014 to 2024, prices increased by an average of 3 percent per year. The beginning of the COVID-19 crisis, followed by the supply shock, sent used-car prices soaring, rising by about 50 percent between second quarter 2020 and third…
A topic that matters more than ever, and yet is debated more than ever Sustainability matters now more than ever—the increasing need for an urgent step-up in action to meet key climate goals was a common refrain around COP29. Three illustrative facts were often cited: This is the first year…
The emergence of new technologies and geopolitical changes are disrupting industries around the world. Corporations are rethinking how to create value for their customers—whether they are serving other businesses (B2B), consumers (B2C), or both (B2B2C)—and how to rewire their business operations to focus on customer needs. Legacy automotive companies are…
The world’s largest companies increasingly recognize the risks and opportunities presented by nature and natural capital. This awareness is driving more businesses to set specific targets to address their impact on water, biodiversity, forests, and other dimensions of nature. The unprecedented decline of nature and biodiversity underscores the urgency of…
In today’s business landscape, organizations face unprecedented levels of change and complexity. Markets shift overnight, new technologies emerge daily, and customer expectations evolve rapidly. This volatile environment demands that organizations adapt quickly, innovate continuously, and respond decisively to new challenges and opportunities. Companies aiming for significant performance improvements may have tried…
Africa’s fintech landscape has undergone a remarkable transformation in recent years, characterized by rapid growth and innovation. Despite significant headwinds, the market remains one of the most dynamic and promising in the world, with notable optimism among fintech leaders and investors. Key fintech players we interviewed indicated they were excited…
As the suite of technology tools at companies’ fingertips continues its exponential growth, so does the demand for technology’s role in business. Tech transformations are not singular events but rather a constant reality of corporate life. According to our latest McKinsey Global Survey of technology and business leaders, most companies are investing…