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Healthcare Leaders Pivoting in Fluctuating Market, Policy Climate

Analysis  |  By Jay Asser  
   June 20, 2025

Executives are rethinking strategies to navigate in an increasingly uncertain landscape, a new report reveals.

As macroeconomic and policy shifts continue to rattle industries across the country, healthcare decision-makers are recognizing the need for strategic change to keep up.

Economic and regulatory policies are particularly affecting leaders in health industries in comparison to executives in other sectors, according to a PwC's May Pulse Survey, highlighting the pressures facing healthcare organizations everywhere.

Whether it's providers trying to manage rising labor costs, pharma and medtech working to overcome supply chain challenges, or payers dealing with drug pricing, healthcare has been significantly impacted by the ebbs and flows taking place in Washington.

While nearly half (48%) of the 678 executives across six industries surveyed by PwC cited U.S. economic policy as a top-three reason to rethink their short-term strategies, that was the case for 61% of healthcare leaders.

Healthcare executives also gave more weight to other factors driving short-term strategy shifts in comparison to other industries, including AI and data regulations (56% to 44%), U.S. trade policy (44% to 41%), U.S. federal government spending and budget policy (37% to 35%), and corporate tax policy (34% to 33%).

The factors that resonated less with healthcare leaders than other sectors were U.S. antitrust and competition environment (24% to 31%) and climate policy (22% to 31%), with U.S. immigration policy's impact seen as even (22% for both).

In terms of most pressing concerns, health industries executives called attention to cyberattacks (90%), the uncertain macroeconomic environment (90%), margin pressure affecting earnings (85%), the complex regulatory environment (80%), and access to skilled labor (80%).

Healthcare flagged cyberattacks as a moderate or serious risk more than any other industry, reflecting how vulnerable healthcare organizations have been to recent cyber incidents that have slowed operations and led to revenue loss.

Unsurprisingly, access to skilled labor is keeping healthcare leaders up at night as workforce challenges continue to plague the industry.

"Providers face shortages as they care for an aging population with increasingly complex needs," PwC analysts wrote. "Pharma requires specialized expertise in biomanufacturing, cell therapies and regulatory compliance. While technology can improve the productivity of existing staff, mitigating some of the labor crunch, it comes with its own set of commitments like investing in change management and training. The AI wave is also driving increased demand for talent proficient in AI, machine learning and data analytics."

Healthcare executives have little choice but to adjust to combat the economic and policy volatility, which includes revising financial forecasts and budgets, implementing cost reductions, assessing tariff impacts, renegotiating supplier prices, and even reshoring manufacturing operations, according to the survey.

"To steer business through all this uncertainty, HI leaders have to stay nimble," PwC analysts wrote. "This means focusing on customers, making processes more efficient, significantly lowering cost structures and doubling down on the fundamentals of quality, compliance and cyber protection."

Jay Asser is the CEO editor for HealthLeaders. 


KEY TAKEAWAYS

Healthcare feels policy pressure more intensely than other industries, with 61% of healthcare leaders citing U.S. economic policy as a top driver for short-term strategy shifts, PwC’s survey found.

Cybersecurity and labor shortages are among healthcare’s top concerns, with 90% of executives worried about cyberattacks and 80% citing challenges accessing skilled labor.

Leaders are adapting by revising forecasts, cutting costs, renegotiating contracts, and reshoring operations to remain resilient amid regulatory and economic uncertainty.


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