Health systems can expect a difficult 2023, a new survey from the Deloitte Center for Health Solutions found.

Firms brace for trouble: More than 8 in 10 C-suite executives from health systems, device and pharmaceutical companies and insurers polled by the consulting firm expect they’ll struggle with staffing. More than 3 in 4 said the same about inflation.

The increased cost of capital could also delay health systems’ technological upgrades. Less than a third of executives surveyed said they’d be able to accelerate their digital modernization efforts.

Health insurance executives were more optimistic, though, with nearly half saying technology would have a “great impact.”

Explaining the difference: “Many health system leaders want to digitally transform but do not know how to pay for it,” Tina Wheeler, health care sector leader at Deloitte, wrote in a blog post.

Health insurers, by contrast, are often further along than health systems and might better grasp digital transformation’s importance, according to Wheeler.

This is where we explore the ideas and innovators shaping health care.

New Zealand has passed a law permanently banning the sale of tobacco products to anyone born after Jan. 1, 2009, even after they turn 18 in 2027. Now that’s future thinking.

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Today on our Pulse Check podcast, Grace talks with Carmen about the $5 billion over five years for global health security that the National Defense Authorization Act authorizes. The House passed the bill last week and the Senate is expected to do so shortly.

The State Department is establishing a bureau “to strengthen global health security and to address the growing national security challenges presented by global health crises,” Secretary of State Antony Blinken said this week.

Global AIDS Coordinator John Nkengasong will be the first head of the Bureau of Global Health Security and Diplomacy.

Why it matters: The bureau will bring together State’s offices that deal with worldwide health issues. It marks a rethinking of how State operates on global health security following the coronavirus pandemic.

How come? The purpose is to improve coordination across all agencies working on global health, including those that won’t be part of the new bureau, such as the Agency for International Development and the global arm of the Centers for Disease Control and Prevention.

Nkengasong will have two deputies to help him manage the new bureau and the President’s Emergency Plan for AIDS Relief.