March 13, 2025

Survey: Health system CEOs prioritize regulation, workforce, technology investments

Editor's Note

Health system executives cite regulatory uncertainty, workforce challenges, and technology investment as top priorities for the next five years, according survey data released February 26 by healthcare advisory firm Chartis.

Based on responses from 61 US health system CEOs and chief security officers (CSOs) in December 2024, the survey highlights growing financial pressures and shifting payment models as key concerns, with many leaders focusing on technology to improve both provider and patient experiences. Findings indicate executives are preparing for significant regulatory changes but remain uncertain about their scope and impact.

For example, while 84% of respondents anticipate moderate to significant effects from new regulations over the next 5 to 10 years, nearly half (46%) expect these changes to negatively affect provider experience. Payment reform, another pressing issue, is seen as a double-edged sword—41% of respondents believe it will worsen provider experience, but a majority expect improvements in quality, safety, affordability, and health equity.

To address these challenges, health system leaders are focusing on investments in technology and physician alignment, Chartis reports. For example:

  • 97% plan to invest in new technology-related capabilities in 2025.
  • 89% aim to strengthen alignment with physician leaders.
  • 73% believe technology will improve provider experience, aiding in recruitment and retention.
  • 81% expect technological advancements to enhance access to care.
  • 75% predict a positive impact on patient experience.

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