Systemness not scale will define healthcares next era

Published on February 25, 2026

The last decade in healthcare has focused on building scale through mergers, diversification and integration. But scale alone does not guarantee coordination, access or performance. In this perspective, Vizient CEO Byron Jobe explains why systemness in healthcare is no longer a strategic preference but an operational imperative. As workforce shortages, financial pressure, policy volatility and rising demand converge, health systems must align governance, access, capacity and decision-making across inpatient, ambulatory, digital and post-acute care settings. Learn how enterprise alignment reduces fragmentation, improves patient access, strengthens capacity management and drives patient loyalty. Discover why systemness--not size--is the defining advantage for health system performance, resilience, and long-term relevance.