Healthcare under pressure: mastering risk to unlock new growth

5 min read

2026 Executive Perspectives on Top Risks and Opportunities

Healthcare organisations are operating in an environment defined by rapid technological acceleration, rising cost pressures and shifting patient and member expectations. Protiviti’s global survey of 1,540, cross-industry board members and C-suite leaders reveals how healthcare executives are navigating this volatility — balancing cyber threats, regulatory uncertainty and talent shortages while pursuing growth through AI adoption, modernised core systems and stronger operational resilience. The findings show an industry confronting immediate risk whilst moving decisively toward digital transformation and more connected models of care. Read the full report to understand where your peers are prioritising investment, how AI is reshaping strategy and which actions organisations are taking now to build resilience and growth.

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14-minute read

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Where healthcare leaders see the greatest growth opportunities over the next two to three years

As organisations navigate shifting market dynamics and increasing cost pressures, executives across the healthcare ecosystem are prioritising strategies that strengthen financial performance while improving operational efficiency

76 %

Revenue potential

60 %

Ecosystem development

58 %

Geographic expansion

Based on a five-point scale assessing agreement/disagreement. 
Percentages reflect sum of "Agree completely" and "Agree somewhat" responses. 

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FAQs

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How are healthcare leaders approaching modernising core systems while managing rising risk?

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Healthcare executives report that 76% see revenue growth, 60% see ecosystem development and 58% see geographic expansion as key opportunities, all of which require stronger digital foundations and modernised core systems to realise. At the same time, cyber threats rank as the top global risk, and organisations emphasise the need to integrate AI into existing technologies while strengthening data governance, interoperability and cybersecurity exposure controls. Protiviti helps organisations modernise legacy environments, manage technical debt and build more resilient technology platforms that support secure, scalable transformation.

What are the most significant AI challenges healthcare executives expect to face, and how are they preparing for them?

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Healthcare leaders identify data and cybersecurity risks (41%), integrating AI with legacy technologies and business processes (38%), and preparing the workforce to use AI responsibly (33%) as their most pressing challenges. These issues reflect the difficulty of modernising fragmented systems, ensuring governance over rapidly evolving AI tools and maintaining human oversight as automation expands. Protiviti helps organisations strengthen data foundations, build responsible AI governance frameworks and modernise core systems so AI can deliver safe, measurable and sustainable value.

Which risks are most urgent for healthcare organisations in the next few years?

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Cyber threats rank as the number-one short-term risk, followed by regulatory uncertainty, third-party vulnerabilities and workforce shortages across both clinical and non-clinical roles. These pressures heighten operational fragility and require improved oversight of vendors, data, security and labor planning. Protiviti supports organisations in strengthening resilience, enhancing cyber readiness and improving risk visibility throughout the enterprise.

Where are healthcare organisations planning to focus their investments to protect margins and improve performance?

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The survey shows the top investment areas as business process improvements (42%), cybersecurity (38%) and customer experience (31%). Leaders are prioritising workflow modernisation, digital tools, virtual care, automation and stronger identity frameworks to drive efficiency and reduce risk. Protiviti helps organisations advance modernisation, streamline operations and strengthen security to support these priorities.

What long-term challenges are expected to shape healthcare strategy over the next decade?

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Executives anticipate major long-term challenges in customer expectations and competition (48%), AI deployments (45%) and security and privacy (37%). With technology reshaping care delivery, organisations must modernise to stay competitive and maintain trust. Protiviti provides insights and capabilities that help leaders plan for sustained transformation, future-ready operating models and continued security maturity.

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