Health Industries (HI): six priorities to reinvent the business

PwC’s 27th Annual Global CEO Survey

Companies recognize the need to reinvent themselves and are already moving to change their business models.

CEOs in the healthcare sector need to accelerate their efforts to analyze and evolve their business models in order to deliver sustainable results for stakeholders and society. What are the forces driving or slowing this transformation? What does it take to succeed? These are the questions to shape a change that can meet global challenges. We present to you the six priorities that CEOs of Health Industries (HI) companies should put on their agenda to realize the change.

logo PwC
1) Consider the long-term economic strength of the business model, 2) Understand macro-trends and turn obstacles into opportunities, 3) Resolve inefficiencies to free up resources, 4) Consider M&A as a lever for growth and transformation of business models, 5) Seize the opportunity of generative AI in a responsible manner, 6) Aim for sustainability beyond energy efficiency.

PRIORITY

01
CEO Survey

Consider the long-term economic strength of the business model

Globally, 97% of CEOs claim to have taken action to transform their business model over the past five years. Even in the health sector, the vast majority of interviewed CEOs have stated that in the past five years they have taken at least one step to change the way the company operates and creates value. However, translating actions into results remains a challenge. Despite the efforts, almost half of the Italian HI CEOs, more than globally, state that they are not sure if their company will be economically sustainable in a decade if it continues on the current path, confirming the urgency to revise the business model.

Percentage of HI CEOs stating that their company will not be economically sustainable over the next 10 years if it maintains the current model

A bar chart comparing perceptions of economic sustainability among HI CEOs in 2023 and 2024. Two sets of vertical bars are shown for each year. In 2023, a single gray bar represents 35% of global HI CEOs who believe their company won't be economically sustainable; no data is shown for Italian CEOs. In 2024, two bars appear: a gray bar at 41% for global CEOs and a taller yellow bar at 47% for Italian CEOs. The gray bars represent global data, and yellow bars represent Italian data.

PRIORITY

02

Understanding macro trends and turning obstacles into opportunities

Changes in patient/customer preferences, regulatory changes and technological transformations are for health sector CEOs the factors that in the next three years, more than in the previous five years and more markedly than in other sectors, both in Italy and globally, will impact the value creation of companies and will determine their transformation.

Percentage of HI CEOs for whom the following factors have caused changes in the last 5 years/will cause changes in the next 3 years in the way the company creates, distributes and acquires value (Only show answers «Very» and «Extremely»)

 

A grouped bar chart comparing global and Italian HI CEOs’ views on seven key business factors over two timeframes: the past 5 years (gray bars) and the next 3 years (orange bars). For global CEOs, technological transformation and customer preference changes are expected to decline in impact, while regulation and demographics are expected to rise. For Italian CEOs, the opposite trend is seen: expectations for technology, customer preferences, and regulation increase significantly. Each factor is represented by two bars per group, showing the shift in perceived importance over time.

PRIORITY

02

Understanding macro trends and turning obstacles into opportunities 2/2

In such a complex and rapidly changing environment, health sector CEOs have a clear need to reinvent themselves, but they are going to face structural barriers to change. Among Italian CEOs, 56% state that the regulatory environment is the main obstacle preventing their company from changing the way it creates value (compared to 48% of global CEOs). The lack of employee skills, as well as a shortage of digital skills are considered less critical obstacles.

Factors that prevent companies from changing the way they create, deliver and acquire value
(Only show answers «Largely» and «Mostly»)

A horizontal bar chart comparing the top challenges faced by HI CEOs globally and in Italy. Each challenge is represented by two bars: a gray one for global responses and a yellow one for Italian responses. The most cited challenge is the regulatory environment, with 56% of Italian CEOs and 48% of global CEOs highlighting it. Other challenges include limited financial resources, competing priorities, supply chain instability, and lack of skills—each showing slightly higher concern among Italian CEOs. Some categories, like company bureaucracy and board support, are only reported for Italy.

PRIORITY

03

Resolve inefficiencies to free up resources

Health CEOs see significant inefficiencies in their company's activities (email management, hiring procedures, expenses approval, meetings, etc.), amounting to about 45% of the time, and in some cases much more significant than in other sectors. The cost of these inefficiencies amounts to hundreds of billions. Resolving these inefficiencies, e.g. by automating or digitizing some routine tasks, frees up resources for change and value creation.

Estimates by HI CEOs on the percentage of business time spent inefficiently on the following activities/processes
 

A vertical bar chart titled 'Estimates by HI CEOs on the percentage of business time spent inefficiently on various activities.' Each activity is represented by two bars: a gray one for global HI CEOs and a yellow one for Italian HI CEOs. The chart shows that Italian CEOs consistently report higher inefficiency across all categories, including email, hiring, performance appraisals, expense approvals, meetings, payroll, and tech issues. The average inefficiency is 42.6% globally and 44.9% in Italy.

PRIORITY

04

M&A as a lever for growth and transformation of business models

The health sector, especially in Italy, is characterized by solid investment activity and a strong resilience compared to other sectors. This demonstrates the attractiveness of the sector and the fact that the lever of M&A is fundamental for the transformation of the business model (e.g. to acquire new skills or assets) and to support growth strategies (e.g. to review their business portfolio, create platforms, etc.). The HI CEOs in Italy state that M&A is among the factors with the greatest impact on value creation, significantly higher than the CEOs of other sectors (+ 10 p.p.).

 

Two side-by-side bar charts comparing global and Italian HI CEOs on M&A activity. The left chart shows that 41% of Italian CEOs and 33% of global CEOs made a significant acquisition in the past 3 years. The right chart breaks down future M&A intentions: 27% of global CEOs and 16% of Italian CEOs plan no deals; 46% of global and 38% of Italian CEOs plan 1–4 deals; and 8% of global versus 16% of Italian CEOs plan more than 4 deals. Gray bars represent global data, yellow bars represent Italian data.
Andrea Fortuna Partner PwC Italy – Health Industries Leader:  "The health sector clients we deal with confirm the urgency to transform and reinvent their business model in the face of a constantly changing context. In particular, demographic and epidemiological changes, regulatory changes, increasingly demanding patient/customer expectations, the challenges posed by technological progress and AI, require the implementation of significant transformation processes. M&A, more than in other sectors, is indicated as a strategic lever both to support growth ambitions and to accelerate the transformations of the business and operational model."

PRIORITY

05

Seizing the opportunity of AI generative in a responsible manner

Italian HI CEOs, in addition to declaring adoption levels of generative AI higher than the global average, consider such technology the main engine of their companies' transformation in the coming years: for example, they expect that generative AI will drive the development of new skills (75%), increase employee efficiency (65%), and improve the quality of their company's products or services (53%). However, there are concerns about possible consequences and risks associated with its adoption (cybersecurity, misinformation, ethical issues, etc.).

The opinion of HI CEOs on the impact of generative AI

The opinion of HI CEOs on the impact of generative AI  In the last 12 months:  Generative AI has been introduced at company level  HI CEO (Global): Disagree 64%, Agree 25% HI CEO (Italy): Disagree 63%, Agree 34% The company has modified its own technology strategy thanks to generative AI  HI CEO (Global): Disagree 59%, Agree 26% HI CEO (Italy): Disagree 75%, Agree 19% In the next 12 months:  Generative AI will enhance the company's ability to build trust with stakeholders  HI CEO (Global): Disagree 34%, Agree 45% HI CEO (Italy): Disagree 38%, Agree 53% Generative AI will improve the quality of the company's products or services  HI CEO (Global): Disagree 29%, Agree 55% HI CEO (Italy): Disagree 38%, Agree 53% In the next three years:  Generative AI will require the development of new skills for the majority of employees  HI CEO (Global): Disagree 19%, Agree 67% HI CEO (Italy): Disagree 19%, Agree 75% Generative AI will significantly modify how the company creates, distributes, and captures value  HI CEO (Global): Disagree 19%, Agree 66% HI CEO (Italy): Disagree 19%, Agree 69% Generative AI will increase the level of competition in my sector  HI CEO (Global): Disagree 19%, Agree 64% HI CEO (Italy): Disagree 19%, Agree 69%

PRIORITY

06

Aiming for sustainability beyond energy efficiency

CEOs in the Health sector, both globally and in Italy, state that the greatest progress has been made in improving energy efficiency. There are still few CEOs with plans for other climate actions, such as the incorporation of climate risk into financial planning or product/service innovation. A broader vision of sustainability offers opportunities to create innovative business models that not only mitigate risks, but also strengthen economic-financial returns and benefit Society.

Percentage of HI CEOs reporting progress in the following actions related to climate change
(Shown only the responses “Underway” and “Completed»)

Title: Percentage of HI CEOs reporting progress in climate-related actions (Underway or Completed)  The chart likely consists of grouped horizontal bars for each climate action, with two bars per group:  Gray bars for Global HI CEOs Yellow bars for Italian HI CEOs Each group represents a specific climate-related initiative. From top to bottom, the actions and their corresponding bar lengths (percentages) would appear as follows:  Improving energy efficiency  Global: 77% Italy: 91% (longest yellow bar) Innovating climate-friendly products/services  Global: 48% Italy: 53% Protecting assets/personnel from climate risks  Global: 39% Italy: 31% Training staff for climate-driven business changes  Global: 30% Italy: 38% Selling climate resilience solutions  Global: 33% Italy: 31% Including climate risk in financial planning  Global: 33% Italy: 28% Investing in nature-based climate solutions  Global: 32% Italy: 28%
Andrea Alessandri Partner PwC Italy – Head of Health Services:  "This year we asked our Healthcare and Life Science sector clients to give us their perspective: a picture of great changes emerged in which the status quo is not an option and CEOs are tackling the transformation of how the company operates and creates value. Many topics were highlighted, but among Italian health CEOs, the regulatory context is the main obstacle that limits the ability to move quickly towards the business models of tomorrow. Great attention is also paid to overcoming inefficiencies to free resources for change. On the horizon is the challenge of new sustainability models, with a focus that must shift from energy efficiency to a broader vision in which economic-financial returns, risk management and impacts on society are part of a single long-term vision."

Contact us

Andrea Fortuna

Andrea Fortuna

Partner | Health Industries Leader, PwC Italy

Andrea Alessandri

Andrea Alessandri

Partner | Health Services Leader, PwC Italy