Health Affairs April 1, 2025
The route to every mountain summit contains a single challenge that sends most climbers fleeing. It’s called the crux—the hardest, most technical part of the climb—and one that allows passage to only the most perceptive, strategic, and collaborative mountaineers.
In 2025, health care is approaching its crux.
Technology has primed the industry to realize tremendous improvements—just as the consequences of long-standing issues including fragmentation, stakeholder friction, and transactional relationships are snowballing. The dissonance is undeniable as dreams of technology- and data-driven care collide with acute realities: industry infighting, rising costs, and clinician shortages.
Technology alone isn’t enough to overcome the crux. How we use innovations—and how these tools fit into and advance the existing health care infrastructure—will determine how...