The Evolving Role of ESG in Healthcare

Since the COVID-19 pandemic, pressure from consumers, shareholders, and employees to adopt ESG policies has been felt by nearly every industry. With social issues more visible than ever, climate change becoming an increasingly pressing concern, and more countries committing to the renewable energy transition, ESG is more than a passing trend.

But while C-Suite leaders across every sector have seen the value, both in operating and stock market evaluation, of embracing an ESG framework, there’s one industry that’s lagged on doing so—healthcare. And now, the U.S. Securities and Exchange Commission (SEC) is considering requiring public companies to report on their ESG commitments, with a particular focus on environmental impact. 

Further, nonprofit hospitals are constantly questioned by government entities about their tax-exempt status, and embedding ESG principles may help them provide validity to their filings. As healthcare leaders have started to learn the importance of ESG—as evidenced by the growing number of “ESG” mentions within the AlphaSense platform for this industry—we explore this budding trend and the leaders who have stepped up to lead the charge.

Setting the Stage in Healthcare

For healthcare leaders, mandated ESG reporting is less of a distant future and more of a current reality. The time to adopt ESG is now, as regulatory metrics linked to operational and fiscal performance are mounting on multiple fronts.

In the U.S., emerging climate disclosure requirements from the SEC would require publicly listed providers to report on their greenhouse gas (GHG) emissions and climate risk governance, strategy, risk management, and impacts. As publicly traded companies prioritize efforts within their own organizations and across broader value chains, even healthcare organizations that are not required to submit ESG reporting may feel pressured to do so.

Additionally, the HHS Health Sector Climate Pledge, launched by the Department of Health and Human Services (HHS), is pushing hospitals and other industry stakeholders to cut their GHG emissions by 50% by 2030. Those who follow suit will see the return: stakeholders—including the Joint Commission, insurers, and financial rating agencies—will also expect healthcare organizations to provide information about their ESG efforts in coming quarters.

Europe has already implemented similar criteria, as the Corporate Sustainability Reporting Directive (CSRD) requires companies to disclose on a range of ESG topics focused on governance, sustainability impacts, risks, and targets. It is expected to impact thousands of entities that are not currently required to report on ESG, and it may create reporting obligations for U.S. parent entities with operations in the EU.

Communicating the Framework

While most individual hospitals or health systems already follow ESG principles to some extent, building an ESG framework is the best way to ensure your efforts are being recognized. Ultimately, you want to be able to hold your leadership accountable by setting clear goals and expectations that improve your workplace, output, and operations.

One key aspect of accomplishing this is transparency. How you communicate or share an ESG framework with stakeholders—from patients to lawmakers, donors, regulators, or in the case of public companies, investors—can determine the effectiveness of your organization’s efforts.

“Without the ability to find this information quickly, stakeholders may conclude that healthcare organizations do not have an ESG program or haven’t considered the impact of ESG issues, such as climate change, on their organization,” said Laura Robinette, Partner & Trust Solutions Health Industries Leader at PwC. “This could potentially result in poor ESG ratings and a competitive disadvantage among peers that may be communicating ESG impact in a more effective manner.”

Another important aspect to building an ESG framework is collecting intelligence. Often an inefficient and time-consuming process due to a lack of guidelines surrounding ESG labeling, finding reliable insights means spending hours on potentially fruitless searching across multiple, disparate sources. 

Without an AI-based market intelligence platform aggregating all the content sources you need, it’s easy to get caught up in the disparate hunt for the right sources. Check out our infosheet, The Top 4 Market Intelligence Sources for ESG Research, to learn which content sets you need to keep your eyes on and how AlphaSense can make the information gathering and monitoring process easier.

Prioritizing a transparency framework in your efforts will be critical to reaping the benefits of your ESG efforts. By instilling and communicating an effective ESG plan, you will likely:

  • Experience greater employee retention and satisfaction
  • Attract younger employees who value ESG policies
  • Draw the attention of investors who see organizations with high ESG ratings as high-value investment opportunities
  • Reduce your carbon footprint on the environment and improve living and health standards in you communities

Healthcare Leaders of ESG

Historically, investment evaluation focused solely on financial returns, but growing concerns around climate change and systemic societal issues and the concept of “triple bottom line” has been gaining traction with investors. Companies that not only acknowledge but actively implement initiatives to address these issues have performed well over the past QoQs. Below are the healthcare leaders pioneering ESG strategy within the space. 

Cigna Corporation

Cigna’s ESG risk rating is low (14.2) and ranked highly (19 out of 600 healthcare companies) by Sustain Analytics, indicating a well-managed public profile that is free of ESG controversy. They have also focused on promoting healthcare access and affordability. Some of those recent initiatives include:

Cigna has been recognized by asset managers globally as a company with a high degree of social responsibility and is included in ESG funds such as the iShares USA ESG Select ETF.


Centenne has a low ESG risk rating (19.9) and is ranked highly (126 out of 600 healthcare companies) by Sustain Analytics. The care company’s business model has an embedded social focus on bringing services to underrepresented individuals through initiatives, including:

Centenne is also a member of the Bloomberg GenderEquality Index (GEI) which monitors the performance of public companies committed to disclosing their efforts regarding gender equality through policy development, representation, and transparency.

Humana Inc

Humana holds a medium ESG risk rating (22.5) and (193 out of 600 healthcare companies), which, from an ESG investment perspective, shows the company is being well managed to address issues. Through a number of initiatives, Humana has focused on social issues relating to mental health awareness in minority groups, including: 

Keeping Tabs on ESG in Healthcare

With new SEC regulations and corporate ESG initiatives emerging each quarter, staying on top of every development is imperative to staying ahead of your competition in the healthcare space. To do so, you need a tool that aggregates leading industry information, all while helping you cut through irrelevant noise. AlphaSense is that and more. 

Using our innovative market intelligence platform, our clients can access broker research, company documents, expert calls, and more from over 10,000 plus content sources–ensuring that they have all the information they need.

Start your free trial today.

Tim Hafke
Tim Hafke
Content Marketing Specialist

Formerly a writer for publications and startups, Tim Hafke is a Content Marketing Specialist at AlphaSense. His prior experience includes developing content for healthcare companies serving marginalized communities.

Read all posts written by Tim Hafke