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Healthcare growth: Overcoming operational challenges

Operations maturity helps improve quality, workforce management and financial outcomes while navigating the complexities of AI integration, data management and staff upskilling.

Payers, providers, and government organizations are balancing quality, care innovation, patient outcomes and growth with the pressing need to manage costs and meet regulatory compliance. At the same time, organizations must integrate new technologies into their business model, while upskilling their talent. Managed services can help accelerate reinvention and speed-to-value.

DATA

10%

Of healthcare organizations are in the top operations-maturity level

36%

Say their talent is fully ready for tech-led reinvention

23%

Say a modern data foundation is deployed at scale across enterprise

How health operations is changing

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Technology integration and scale

AI and gen AI can revolutionize healthcare by boosting operational efficiencies and innovation in both internal and customer-facing processes for payers and care providers. However, significant gaps exist; most executives are piloting gen AI in pre-production environments, but only 21% in healthcare have scaled it across multiple functions. Underinvestment and a cautious path limit adoption to fragmented pilots.

Financial stability and cost efficiency

Cost pressures, labor shortages and supply-demand mismatches are rising and hindering growth. Declining reimbursements, increasing labor costs, government program changes, and scarce investments for technology intensify the problem. Incorporating managed services can help mitigate talent gaps and improve financial outcomes. Resource optimization, cost containment, automation, and managed services are essential.

Patient satisfaction and improved care outcomes

Increasing personalized service expectations require connected, efficient operations to reduce wait times, enhance communication, improve claim processing and boost satisfaction, ensuring a smoother healthcare experience and ultimately improved patient outcomes, trust and retention. Technology can help streamline admin, reduce burnout and improve communication and data management.

What you can do

Tailoring data strategies to the unique needs of patients and workflows of clinicians, ensures it is relevant, useful, and accessible to the teams that need it. Integrated processes ensure standardized, secure access and AI-ready analytics.

Reshape the workforce to align with evolving business needs, continually upskill workers to help them thrive, and reinvent processes and workflows to maximize AI’s impact in serving patients, supporting employees, and achieving organizational goals.

It's crucial that tech and business teams co-own outcomes and collaborate closely on AI decisions. Reinvention-ready organizations have a culture of cross-functional teamwork, driving innovation and aligning AI and gen AI use cases with strategic goals.

Adopting cloud-based process mining and strong data governance helps organizations quickly spot inefficiencies, set clear improvement goals, and use AI effectively. This leads to faster, more accurate decisions and better business outcomes at scale.

Clinical staff shortages and operating cost pressures can limit patient services. Marrying technology and skilled humans through managed services can help reduce time on administrative tasks and increase patient throughput.

Our leaders

Nizar Sajan

Health Operations, Global Industry Lead

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AJ Bernardi

Health Operations, Global Offering Lead

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Brian Christian

Health Operations, NA Lead

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