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McKinsey on Healthcare

Paul Kusserow on the forces changing healthcare faster than ever

16 Jul 2025

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In his latest book, Paul Kusserow discusses the forces that will shift US healthcare more in the next ten years than it has changed in the past 100—and how to use these forces advantageously.See www.mckinsey.com/privacy-policy for privacy information

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Full Episode

4.25 - 24.022 Anne Kofel

You're listening to McKinsey on Healthcare, a podcast dedicated to showcasing the latest trends, insights, and innovations shaping the healthcare industry. I'm Anne Kofel, a partner in McKinsey's Boston office and your host for this episode. Today, I'm joined by Paul Kucero. Paul is the chairman and former CEO of Amedisys, a home health and hospice care provider.

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24.643 - 42.148 Anne Kofel

He's also the executive chairman of Unified Women's Health and the co-founder and chairman of Healthpilot Technologies. Paul recently published a book called Becoming Healthcare Revolution, 10 Forces That Will Cure America's Health Crisis. In it, he and his co-author David Johnson discuss the outside forces that are shaping the U.S.

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42.168 - 49.858 Anne Kofel

healthcare industry and how healthcare systems will soon transform in ways we've never seen before. Paul, welcome to the show. We're happy to have you here.

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50.419 - 51.44 Paul Kusserow

Appreciate your having me.

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52.201 - 56.667 Anne Kofel

So, Paul, just to get us started, what inspired you and your co-author David to write this book?

57.507 - 79.393 Paul Kusserow

Well, I wrote a book before this called The Anatomy of a Turnaround, and it was about turning around a medicine. It's the company that I ran for 10 years. Dave was my editor then, and he's a healthcare economist. And we started to look through some of the ideas that were coming out of there, and then we... started to talk about where we were in the journey of healthcare in the United States.

79.954 - 101.622 Paul Kusserow

And we believe that there was something that was going to occur pretty quickly. We spent about six months doing pretty extensive research, and the book started to form quite naturally. So we put it all together, and the thesis came very naturally, which is healthcare is going to change more in the next 10 years than it has in the last 100.

102.682 - 110.751 Anne Kofel

You introduced the healthcare revolution as stemming from complacency in an ever-changing world. What are some examples of this? Why do you say that now is the tipping point?

111.305 - 132.908 Paul Kusserow

What came out of the research that was most interesting was we actually went back 100 years, over 100 years, and looked at how we got to where we are now. You know, those that don't learn from history are doomed to repeat it. And so we looked at something called the Flexner Report, which was basically the start of modern healthcare in the United States, which came out in 1910.

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