2025年医疗行业状况报告

Contents Healthcare Executivesummary Healthcare organizations face unprecedented pressure to balance cost containment with expanding Patient/Member andProvider expectations. As digital adoption accelerates—and agentic AI emerges as a pivotal enabler—organizations mustembrace an end-to-end transformation to create a holistic, patient-centered, sustainable system. Even as medical and technological breakthroughs flourish, geopolitical complexities introduce new challenges through supplychain vulnerabilities, regulatory fragmentation, and increasingly nationalistic healthcare policies. Sustainable healthcarerequires executives to strategically navigate cost optimization while delivering personalized care in a diverse, politicallyinfluenced global landscape. Based on research from IBM Institute for Business Value studies and the expertise of our industry leaders, we offer a high-levelview of the healthcare industry today with a focus on the impacts of major technologies. Select case studies demonstrate howcompanies are successfully using advanced technologies to improve operations and the patient experiences. As the demand for personalizedcare grows, organizations mustbalance cost management withdelivering high-quality,patient-centered solutions inan increasingly fragmentedglobal landscape. To stay ahead, organizations areharnessing the power oftechnologies—including dataanalytics, digital health solutions,and AI—to drive breakthroughs inhealthcare and adapt togeopolitical disruptions. These technologies enable fasterinnovation, real-time medicaldecision-making, and more agileresponses to emerging challenges. Healthcare Market &technologytrends Healthcare is moving toward apatient centric accountable care system. Macro trends Virtual and hybridcare solutions Citizen-patientat the center Value-basedaccountable care Digitaltransformation Digital technologies enable healthcaresystem modernization, therebyenhancing care delivery, compliancemanagement, and improved patientoutcomes. An accountable care approach shiftsfrom value-based payment to sharedresponsibility for delivering betteroutcomes, improving patientexperiences, and managing costs. Person-centered care places patientsand their families as equal partners inshaping their care to promoteautonomy, choice, and collaboration. The rise ofvirtual care is redefininghealthcare delivery, with growingdemand for digital engagement andpersonalized care anytime, anywhere. As populations evolve intodigital healthconsumers, their expectations shifttoward accessible, real-time, andpersonalized healthcare solutions thatextend beyond traditional hospital andcare settings. Precision medicine, IoT, and remotemonitoring are accelerating thistransformation. These technologiesenable continuous data collection, real-time insights, and proactiveinterventions, empowering clinicians todeliver personalized, preventive, andefficient care. This approach incentivizes proactive,coordinated, and preventiveinterventions, reducing resourceutilization. Achieving this requires deepintegration across clinical, operational,and financial systems. An end-to-end transformation ofhealthcare enables seamlessintegration of advanced technologies.This increases availability of data acrossthe healthcare value chain. Adoption of advanced analytics and AIwill uncover insights to improve patientcare and enhance operationalefficiency. This helps Payers streamlinecoding, improve claims accuracy, andaccelerate reimbursements. Health data generated by wearabletechnology, smartphones, and appscombined with clinical information,allow monitoring of chronic conditionsat home and detect issues early. Data interoperability, real-timeanalytics, and robust digitalinfrastructure are prerequisites for thismodel. Integrated platforms that unifyclinical, operational, and financial dataare critical. They also enhance transparency andpatient engagement, allowingindividuals to take a more active role inmanaging their health, improving riskprediction, optimizing resourceallocation, and fostering a patient-centered, preventive approach. For this model, healthcare systemsmust enable multidisciplinary careteam coordination by allowing access toa shared, longitudinal view of thepatient. The evolution of agentic AI willtransform clinical decision support,chronic disease management, surgicalassistance, virtual health agents, andadministrative workflow. Success of accountable care requires afull-system redesign powered bytechnology, data, and patient centricity. Improved care outcomes in acommunity, in turn, reducehealthcare costs. The healthcare industry facessignificant challenges. Key challengesand opportunities Rising costs, inequitableoutcomes and access Low interoperabilitymaturity Regulations, geo-politics, and data risks Resourceconstraints Global medical costs are surging(10.4% increase in 2024), driven bystrained systems and rising demand.1Despite $1.8 trillion spent annually onglobal