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December 9, 2025

Integrating Risk, Coverage, and Care: A New Model for Protection

Explore how healthcare leaders can integrate risk, coverage, and clinical care to build resilience against challenges like cyber threats and labor shortages.

Summary

  • Healthcare costs rise faster than revenue, creating long-term financial risks.
  • Five key forces drive vulnerabilities: cyber, labor, regulation, tech, and value care.
  • Coordinated coverage across risks helps close gaps and improve pricing.
  • Financial layers beyond claims protect revenue, cash flow, and credit exposure.
  • Data-driven insights and cross-team collaboration strengthen risk resilience.

Margins are shrinking. Demands are rising. Across the healthcare sector, the cost of delivering care is increasing faster than the revenue it generates—shifting what started as a COVID-era challenge into a longer-term issue. In this environment, even small disruptions can affect operations and put financial stability at risk. 

Marsh McLennan Agency’s Healthcare Risk Report identifies five key forces contributing to the industry’s vulnerabilities: cybersecurity threats, labor shortages, regulatory complexity, technology disruption, and the challenges of value-based care. Each has financial implications, and together, they can compound.

  • Cyberattacks now cost healthcare organizations an average of $9.77 million per breach, which is higher than in many other industries.
  • Labor shortages are projected to leave the U.S. system short more than 100,000 workers by 2028, increasing wage inflation and turnover-related costs.
  • Regulatory enforcement continues to rise, with $1.7 billion in False Claims Act settlements last year. 
  • Technology disruption and AI adoption are creating coverage gray areas where cyber, errors and omissions (E&O), and malpractice insurance overlap.
  • Value-based models expose providers to unpredictable reimbursement tied to outcomes they may not fully control. 

Traditional insurance programs weren’t designed for this level of volatility. They manage isolated risks—cyber here, malpractice there—but today’s threats cross clinical, digital, and financial boundaries. The result is gaps in protection, rising premiums, and a growing need for a different kind of safety net.

How to build a broader safety net

Protecting a healthcare organization today means more than renewing policies. It requires integrating financial, operational, and technological safeguards that reflect how risk moves through the business. 

Here’s how healthcare leaders can build a broader safety net to close coverage gaps and strengthen resilience.

1. Coordinate coverage across overlapping risks. 

Traditional insurance structures were designed for separation—cyber in one policy, malpractice in another, E&O on its own. But today, those lines are blurring. A ransomware attack can interrupt patient care, trigger malpractice claims, and cause regulatory scrutiny—all from one incident.

Coordinating policies across cyber, medical professional liability, E&O, and managed care E&O helps ensure these intersections are covered, not caught in the gaps. This alignment also gives underwriters a clearer, more complete picture of your risk posture, which can improve pricing and terms.

2. Layer protection with financial stability. 

Financial resilience in healthcare depends on more than claims protection. It’s about safeguarding revenue streams, cash flow, and credit exposure when external shocks occur. Three often-overlooked coverages can provide that foundation:

  • Trade credit insurance protects against customer or supplier insolvency, particularly for MedTech and systems sourcing globally.
  • Medical professional liability shields providers and organizations from treatment and care-related claims, which are increasingly intertwined with technology use.
  • E&O covers administrative, billing, or tech-enabled service errors that cause third-party financial loss.

Together, these layers create a financial backstop that extends beyond traditional insurance.

3. Integrate data and analytics into every decision.

The most resilient organizations connect data from claims, workforce health, and compliance systems to anticipate risk before it escalates. Tools like Planning & Analytics for Total Health (PATH) and Workers’ Health 360® help healthcare leaders analyze absenteeism, injury trends, and benefits utilization to identify where risk is rising and where early intervention can drive savings. This approach not only improves insurability but also demonstrates accountability to boards and payers.

4. Strengthen alignment between operations and risk management.

A broader safety net only works when it’s shared across functions. Risk management, HR, compliance, and finance must collaborate rather than operate in silos. Establishing regular cross-functional reviews ensures coverage decisions reflect how your organization actually delivers care.

Engage your insurance partners early—well before renewal—to close emerging gaps, align limits with real exposures, and develop response plans that connect clinical continuity with financial recovery.

5. Shift from protection to performance.

Organizations that treat risk as a managed asset—not a reactive cost—are better equipped to sustain care, attract talent, and navigate future challenges.

For example, one regional health system combined claims and workforce data to identify rising injury rates in its outpatient facilities. By refining staffing schedules and investing in targeted training, the organization reduced incidents by nearly 20%, which also helped lower workers’ compensation costs and improve staff retention. The same insights support better renewal negotiations with underwriters. 

Find your gaps.

Today’s healthcare risks don’t fit neatly into policy boxes, and tomorrow’s risks will be even more interconnected.

Download Marsh McLennan Agency’s Healthcare Risk Report: Five Forces Reshaping the Industry to explore how organizations can adapt their protections for a new era of healthcare volatility.

Strengthen your healthcare risk management.

Find strategies in our exclusive report to handle industry challenges, support quality care, and stay compliant.


Contributor