Smaller and midtier healthcare systems face mounting financial, regulatory, and workforce pressures amid industry consolidation. Despite these challenges, their deep community ties and operational agility offer unique advantages. The report outlines a phased road map: immediate stabilization through contract audits and workforce initiatives; midterm growth via alliances, employer partnerships, and scalable analytics; and long-term differentiation through CoEs, telehealth, equity initiatives, and policy engagement. Success depends on transparent operations and strategic investments, as well as leveraging external expertise to build resilience and sustainable margins.
Strengthening Margins & Resilience for Midtier Health Systems
November, 2025
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