AI智能总结
CONTENTS Executive summaryHealthcare dynamicsTech and business trendsFinancial outlookStrategic imperatives EXECUTIVE SUMMARY The US healthcare system has struggled todeliver high-quality, efficient care at scaleacross the broader population. While costshave escalated beyond those in otheradvanced economies, equitable access tocare in the US remains elusive. Healthcareproviders struggle with administrativeburdens, burnout, and workforce shortages.Payers are working to improve patientexperience, and to increase operationalefficiency across complex systems. In addition to these longstanding challenges,healthcare in the US faces new headwinds.As political decisions scale back investmentin health research and public healthcare,they often impose additional regulatoryconstraints — just as healthcare organizationsface mounting pressure to keep up with fast-moving technological innovation. However, there are opportunities to addressboth recent headwinds and persistentchallenges. New operating models thatrefocus on patient care and well-being offera chance to reset. Digital modernizationcan reduce administrative burdens andpotentially curb costs and delays in thesystem. Plus, artificial intelligence (AI) toolsin healthcare hold the potential to unlocksignificant value — streamlining clinicalworkflows and enabling providers to focus onmore meaningful, human-centered patientcare. HEALTHCARE DYNAMICS The mission of a healthcare system is todeliver high-quality care to the widestpopulation possible in an efficient manner.Healthcare systems in the US and globallyhave significant opportunities to advanceacross all of these dimensions. for 17.6% of the nation’s GDP in 2023 (Figure1). It also continues to grow faster than theoverall economy. Healthcare spending in the US grew to $4.9trillion in 2023 and is projected to grow atmore than 8%,according to the US Centersfor Medicare and Medicaid Services.UShealthcare spending per capita far outpacesother countries (Figure 2). The US healthcare market is the world’slargest in terms of spending as a percentageof gross domestic product (GDP), accounting But US healthcare is delivered unevenly andunclearly. Patient satisfaction and trust inhealthcare institutions have been steadilyeroding, signaling deeper concerns abouttransparency, access, and the overall patientexperience. Meanwhile,US healthcareproviders struggle to balancequality patientcare and complying with processes. have gained insurance through more recentexpansions — such as the Affordable CareAct (ACA) or pandemic-era provisions —these programs have become integral tothe nation’s healthcare safety net. Reversingthem risks undermining more than adecade of progress in healthcare accessand affordability. It more generally reducesMedicaid eligibility, shortens enrollmentperiods and imposes other new requirementson enrollees. Public dissatisfaction with healthcare systemsis widespread. Americans typically trust theirown physicians but distrust the healthcaresystem writ large. The tragic shooting ofUnitedHealthcare CEO Brian Thompson inManhattan — and the public response toit — underscores the deepening erosionof trust in healthcare companies andinstitutions. Workforce challenges Even before these new political challenges,the healthcare industry faced a seriousworkforce challenge. The staffing shortagespans the range from new techniciansto medical professionals. According tothe National Center for Health WorkforceAnalysis, the US could face a shortage ofmore than 187,000 physicians by 2037 — aprojected gap that poses serious risks to careaccessibility, quality, and system resilience.In addition, all caregivers are grappling withburnout and low job satisfaction. Nurses andallied health professionals reportfacing thesame challenges as doctors, with additionalfrustrationsin dealing with administrators andreceiving abuse from patients. Recent political and legislative actionshave created new challenges and greateruncertainty in the healthcare space. The US administration has cut billionsin healthcare research funding from theNational Institutes of Health and fromresearch universities. Growing publicskepticism and potential shifts in access toroutine vaccinations are poised to compoundthe challenges already confronting healthcareproviders. Changes in care and operating models offerpotential ways to address these workforceissues.As noted by Infosys and othersources, the prevailing fee-for-service modeldiscourages integrated care and contributesto higher costs and lower efficiency.A value-based care modelshifts the focus to patienthealth outcomes and quality rather thanquantity of procedures. Federal legislation enacted in July signalsa significant shift in the US healthcarelandscape, introducing looming budget cutsalongside sweeping changes to regulatoryand compliance frameworks, particularlythe One Big Beautiful Bill Act. While someof the 16 million Americans projected tolose coverage under the legislation may