L.E.K Case Studies

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Casual Dining Chain Grows by Implementing a New Restaurant Concept A leading French restaurant chain, which had already achieved substantial success with a network of more than 300 restaurants situated in virtually every large French city suburb, was eager to enter its next phase of growth. Recognising the need to diversify its approach, the client engaged L.E.K. Consulting to develop a new restaurant concept to target smaller French cities.

A Major Agricultural Logistics Provider Aims to Optimize its Network Blueprint A leading agricultural logistics provider faced an increasingly competitive environment, including new domestic and international rivals, a shifting political climate and a carryover of suboptimal contracts from the recent economic recession. A key challenge for the client, an incumbent owner of the majority of Australia’s grain storage and logistics network, was making sense of the country’s diverse and rapidly changing grain and rail landscape.

Integrated Agribusiness Operator Looks to Emerging Market for Growth A recent change in international law and tariff duties suddenly opened a new opportunity for a global agricultural processing giant to invest in a greenfield soy crush facility in an emerging market in Asia where it was already importing soy beans, meal and oil. The client had begun initial research into the opportunity, but still had many unanswered questions about the offtake markets, value chain economics, competitive landscape and overall investment feasibility under a range of possible market scenarios.

Leading International Agribusiness Processing and Technology Firms Find Equitable Joint Venture Terms A leading Brazilian integrated agribusiness and food company with sugar mills around the world was looking to introduce innovations in the oleochemical space and utilize all parts of its sugar refinery chain more effectively. To do so, the company partnered with a leading technology firm focused on converting low-value sugars into higher value fatty acids. Such acids can be sold into the personal care sectors (detergent and soap) to help diversify revenue. While the two firms reached a tentative joint venture agreement, they enlisted L.E.K. Consulting to evaluate the economics of the venture for both sides.

Leading Academic Medical Center Develops Provider-Sponsored Health Plan Facing an increasingly challenging post-Affordable Care Act (ACA) environment and reimbursement pressure, a world-renowned academic medical center was evaluating a range of strategic options, including whether to vertically integrate and become a health insurance payer. Given L.E.K.’s extensive experience in advising managed care clients, the hospital engaged L.E.K. to assess the provider-sponsored health plan opportunity and develop a market entry plan.

Leading Regional Hospital System Develops Strategy to Capture Profitable Patient Volume A leading regional hospital system was suffering continual and significant patient volume losses in both inpatient and outpatient procedures, across all service lines, over the previous five years. Profitability was declining, and patients and physicians alike were turning to newly opened hospitals in the region. The hospital system asked L.E.K. to help develop a strategic plan to drive profitable volume through a set of discrete and clearly defined initiatives.

Business Services Division of Large Managed Care Organization Develops ACO Go-to-Market Strategy Accountable Care Organizations (ACOs) are one manifestation of a broad-based, ongoing trend to better align incentives for healthcare providers (hospitals, medical groups, integrated delivery networks or IDNs) and enable them to share in the benefits from reduced costs and improved care quality, coordination and outcomes. During the early period of ACO formation, the business services division of a large healthcare services company was developing a comprehensive suite of services for ACOs. Given the nascent stages of ACO formation the company requested assistance to better understand the future of the ACO market to optimize their go-to-market strategy.

Leading Integrated Payer-Provider Optimizes Revenue and Improves Cost Structure A leading, multi-regional, integrated payer-provider was facing a significant, long-term gap between actual and strategic plan performance. The payer-provider required assistance to close the gap within 36 months. L.E.K. was engaged to assist with this company-wide revenue optimization and cost reduction effort. In particular, L.E.K. participated in the effort to catalog all financial performance initiatives, identify and validate incremental initiatives, and assess the feasibility, timing, and risks associated with each initiative.

Major Health Plan Optimizes Care Management Strategies A confluence of events (regulatory, structural, competitive) has increased pressure on the fundamental economics of many health plans. Under this margin pressure, health plans often view effective care management as a critical lever in ensuring a sustainable economic model. A leading regional health plan engaged L.E.K. to conduct a comprehensive review of their care management and medical management functions in order to identify opportunities for optimization and improvement.

Leading Managed Care Organization Develops a Health Plan for Dual Eligibles “Dual eligibles” receive both Medicare and Medicaid benefits by virtue of their age or disability and low income. Given the high cost of caring for dual eligibles and their complex needs, the federal government and several state governments have collaborated with private payers and providers to develop innovative managed care programs to more effectively manage dual eligibles’ healthcare needs, increase quality, improve outcomes, and reduce healthcare costs. Against this backdrop, a well-respected health plan with experience in Medicare, but new to Medicaid, engaged L.E.K. to support them in developing a managed care offering for dual eligibles in response to a request for application (RFA) from the state Medicaid agency and Center for Medicare and Medicaid Studies (CMS).

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