A look forward: Outlook and insights for health systems in 2025
As we step into 2025, health systems are at a pivotal juncture with innovation and adaptability shaping their future. Here are key trends and insights to watch for in the year ahead:
9. AI and automation in healthcare
Artificial intelligence will drive efficiencies in diagnostics, administrative workflows, and patient engagement. From AI-assisted imaging to automated revenue cycle management, the focus will be on improving outcomes while reducing operational costs.
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- Stay tuned for our upcoming blog: The transformative potential of artificial intelligence in specialty pharmacy for health systems
8. 340B optimization
In 2025, health systems will need to navigate ongoing policy changes and payer challenges while demonstrating the program’s value. Leveraging robust data analytics and compliance strategies will be key to maximizing savings and ensuring program sustainability.
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7. Sustainability and financial resilience
As financial pressures mount, health systems must find ways to protect margins while advancing their missions. Specialty pharmacies and 340B programs offer critical pathways for driving financial resilience, enabling systems to reinvest in care delivery, expand services, and improve patient access.
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6. Focus on health equity
Equity will take center stage with health systems embedding it into their strategic goals. This includes addressing social determinants of health, expanding community health initiatives, and improving access for marginalized populations.
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5. Digital health adoption
Telehealth and remote patient monitoring (RPM) are no longer optional. Health systems will expand digital health platforms to deliver care beyond traditional clinical settings, improving access and convenience for patients while addressing disparities in rural and underserved areas.
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4. Workforce resilience and retention
Addressing burnout and staffing shortages will be critical. Look for investments in workforce well-being programs, flexible scheduling, and technologies like AI-driven scheduling tools to optimize workloads.
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3. Data integration and predictive analytics
Leveraging data for decision-making will remain a cornerstone of healthcare transformation. In 2025, health systems will focus on integrating disparate data sources—from electronic health records (EHRs) to social determinants of health (SDOH)—and using predictive analytics to identify trends, reduce readmissions, and personalize patient care.
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2. Health-system owned specialty pharmacies as a strategic asset
The rapid growth of specialty medications underscores the critical role of health system-owned specialty pharmacies (HSSPs). By integrating these pharmacies into care delivery, health systems can improve medication access, adherence, and outcomes for complex patient populations. Expect increased investment in building or expanding HSSPs with a focus on aligning clinical expertise with personalized pharmacy services.
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1. Expansion of value-based care models
The shift from fee-for-service to value-based care will accelerate as health systems prioritize quality outcomes over quantity. Expect deeper partnerships among providers, payers, and community organizations to improve population health and reduce costs.
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Final thoughts
Health systems in 2025 will need to balance technological innovation with the human aspects of care. Those that succeed will be the ones that embrace change, prioritize collaboration, and maintain a steadfast commitment to improving health outcomes for all.
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