Fully 36% of CEOs at middle-market healthcare provider and payer organizations have expressed doubts about the current business environment for the next 12 months, according to a new Marcum-Hoefstra CEO survey conducted earlier this month.

Survey results did find, however, that approximately 27% of healthcare CEOs are optimistic about the business environment over the next year. Another 36% reported neutral feelings about the current business climate. 

Economic concerns outweighed other influences for healthcare CEO planning over the next 12 months, with more than a quarter (27.3%) of CEOs saying the economy was the greatest influence on business planning. Following economic concerns, technology, availability of talent, legislation and reform and the regulatory environment were most cited as top influences on business planning over the next 12 months. 

The survey, which included responses from nearly 300 middle-market firms across a range of industries, also found that three-quarters of executives within all industries say the Biden administration’s COVID-19 stimulus plan is necessary for the recovery of the U.S. economy over the coming year.