Health services

Payers and providers still have the opportunity to move faster towards digital business models, integrating functions, sites of service and care, and stakeholder experience more seamlessly and digitally. Underlying this shift is the need for better insights, analytics, cloud architecture and modern foundational administrative technology.

The quest to attract and retain members or patients is pushing payers and providers to invest in capabilities that engage earlier, sustain that engagement, ensure accessibility to services and ultimately improve patient care l- highlighting the need for improved marketing, relationship and engagement management.

As health service organizations continue to get larger, more regulated and more consumer facing, they need to up their game by anticipating, understanding and controlling their risks in compliance, finance, operations, and technology.

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Healthcare executives will need to face workforce shortages with a focus on attracting and retaining talent into a more agile and tech-enabled workplace.

Deal value will likely take the shape of companies focused on primary care, home health, retail/ patient technology, data and digital platforms and divestiture of non-core and/or non-strategic assets while large players continue to seek consolidation plays.

The health services industry continues to evolve quickly with private equity, new business models, consolidation and consumer preferences all impacting legacy payers and providers. These organizations need to aggressively address all growth levers from those that give them the right to stay in the game, position to win in the current world.

Health Services companies' operations and operating models often prevent them from achieving true business transformation.