Article
Driving change in healthcare: Trends reshaping the industry
Jan. 8, 2025 · Authored by Michael J. Patti, Darren R. Jones, Kevin Coonan, Mark J. Ross
In 2024, the healthcare industry found itself navigating a pivotal year of transformation and resilience. Rapid advancements in artificial intelligence, a shifting regulatory environment, possible impacts from the presidential election and the growing threat of cyberattacks underscore the urgency for strategic adaptability. At the same time, economic pressures and an unrelenting wave of mergers and acquisitions highlight the need for efficiency and innovation. As the industry faces these multifaceted challenges, it's the ability to adapt that will define its future.
Amid these changes, the industry faces sustained economic pressures, grappling with rising costs and complex regulations, making adaptability and strategic planning more essential than ever to continue to protect patients and operations.
The impact of the 2024 presidential election on healthcare
The 2024 presidential election has sparked significant speculation about the future of healthcare policy. Medicare Advantage could see major changes, including a potential shift to make it the default enrollment option, while Medicaid may face stricter eligibility requirements. Changes to the Affordable Care Act are expected to focus on subsidies and compliance adjustments rather than repeal.
Price transparency will remain a priority, with enforcement likely to intensify under the new administration. Providers should continue planning for regulations, such as minimum staffing requirements for nursing facilities, while the life sciences sector navigates uncertainties around the Inflation Reduction Act and CMS drug price negotiations. In this highly regulated and evolving landscape, organizations must stay agile and prepared for what’s ahead.
Cyberattacks: A persistent threat to healthcare
Cyberattacks remain a critical challenge for the healthcare industry, impacting providers, payers and life sciences organizations alike. High-profile breaches have highlighted the vulnerability of organizations of all sizes. As cyber threats become increasingly inevitable, having robust systems to identify, respond to and mitigate breaches is essential. Emphasizing the importance of vendor risk management and comprehensive business continuity planning is crucial to minimize disruptions like claims processing delays and cash flow issues.
From a payer perspective, managing vast amounts of sensitive data adds complexity, emphasizing the need for strong security measures and vendor oversight. In life sciences, the FDA’s recent guidance on cybersecurity for medical devices underscores the growing focus on integrating cybersecurity into quality management systems, particularly for data-driven MedTech innovations.