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Healthcare consulting services for payers and providers
Health Services
Overview
Healthcare is at a turning point. Costs are rising, consumer expectations are shifting, and technology is opening new doors. For executives ready to act, there’s real opportunity for you to build smarter, more connected, and more affordable systems of care. At PwC, we work with payers and providers to reimagine what’s possible — from unlocking AI’s potential to managing total cost of care and strengthening consumer trust. We can move healthcare forward together.
The future of healthcare payers and providers, reimagined
By 2035, health services organizations will need to deliver better outcomes, greater access, and more personalized experiences—at a fundamentally lower cost. Our latest perspectives explore how payers and providers can reinvent their roles in a rapidly evolving ecosystem, harnessing AI, data, and new operating models to meet rising consumer expectations and economic pressure. Together, these insights outline bold, practical paths to resilience, relevance, and long-term growth.
Health services challenges and opportunities
- Confronting affordability and disrupting costs
- Digitizing healthcare
- Attracting and retaining customers
- Rethinking risk
- Solving clinical workforce shortages
- Delivering deals value
- Accelerating growth
- Business transformation through strategic managed services
Confronting affordability and disrupting costs
Health plans and systems have a clear opportunity: Address affordability head-on and turn every shift — technology, regulation, deals or disruption — into a step toward lower long-term costs, greater health equity and stronger capabilities for value-based care.
Digitizing healthcare
Payers and providers still have room to accelerate — by embracing digital business models that connect functions, care settings and stakeholder experiences more seamlessly than ever. Underlying this shift is the need for better insights, analytics, cloud architecture and modern foundational administrative technology.
Attracting and retaining customers
The quest to attract and retain members or patients is pushing payers and providers to invest in capabilities that engage earlier, sustain that engagement, boost accessibility to services and ultimately improve patient care — highlighting the need for improved marketing, relationship and engagement management.
Rethinking risk
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.
Solving clinical workforce shortages
Healthcare executives need to face workforce shortages with a focus on attracting and retaining talent in a more agile and tech-enabled workplace.
Delivering deals value
Deal value is shifting toward companies focused on primary care, home health, patient-facing tech, data platforms and digital innovation. At the same time, we’re seeing continued consolidation and divestitures of non-core assets as organizations refine their strategies.
Accelerating growth
The health services industry continues to evolve quickly with private equity, new business models, consolidation and consumer preferences all impacting legacy payers and providers. To stay competitive and lead, organizations need to activate every growth lever, from those that secure their place today to those that position them to win tomorrow.
Business transformation through strategic managed services
For many health services companies, outdated operations and operating models stand in the way of true transformation — but that’s where the opportunity begins.
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