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Monisha Machado-Pereira

Senior PartnerBay Area

Monisha Machado-Pereira

Senior PartnerBay Area

Leads the Medicare work within the firm’s Healthcare Systems & Services Practice with a focus on serving clients in the healthcare space, including large health plans, hospital systems, retail pharmacies, pharmaceutical, and medical products companies

Monisha currently leads the firm’s Medicare work within our Healthcare Practice. Since joining the firm, she has focused on serving clients in the healthcare space, including large health plans, hospital systems, retail pharmacies, pharmaceutical, and medical products companies.

Monisha’s recent experiences include working with large health plans to review and improve their Medicare business performance; defining local-market Medicare entry and exit strategies for regional health plans and providers; designing the end-to-end revenue optimization (risk adjustment and stars) process for payors, including stakeholder-specific requirements; and defining and implementing postreform payor product strategies, including novel, collaborative reimbursement models with providers. She has also bridged the payor-provider divide by developing innovative, combined strategies to reduce medical and administrative costs, and she has managed the implementation of large-scale health system operational transformations.

Monisha served in the office of the president of the Beth Israel Deaconess medical center, helping to design and implement a new operational strategy, focused on multiservice-line lean transformation. Prior to joining McKinsey, she worked as a dental surgeon.

  • Healthcare
  • Medicare

Published work

Reimagining US employer health benefits with innovative plan designs,” McKinsey & Company, October 2024

2024 payers outlook: Opportunities abound,” McKinsey & Company, December 2023

The gathering storm: The threat to employee healthcare benefits,” McKinsey & Company, October 2022

Supplemental benefit changes in Medicare Advantage increase options for those with chronic conditions,” McKinsey & Company, August 2020

Assessing the 2017 Medicare Advantage Star ratings,” McKinsey & Company, November 2016

Improving acquisition and retention in Medicare,” McKinsey & Company, March 2016

Education

Harvard University, School of Public Health
MS, health policy and management

Mumbai University
DDS