The innovative partnerships and business models developed over the next decade will be key to delivering the equitable outcomes the healthcare system aspires to achieve. This course will focus on the tools required to design and build these models in collaboration with stakeholders across the healthcare value chain. One consistent difficulty in healthcare is that innovative models are perhaps most likely to begin outside of the existing large and successful players. This is perhaps not surprising, after all for many existing players the current industry structure has been quite rewarding. Even the most innovative of these new firms often face meaningful difficulty of growing their enterprise in the market. This is often because their leaders are not equipped to navigate this evolving landscape. Even with recent examples of new models, long-term success requires market structures that focus on solving these entrenched challenges, all while key stakeholders earn a return on their capital. The material will focus on how managers can structure and grow their organizations in the evolving U.S. healthcare ecosystem. Students will confront the realities of models that can or cannot expand in the healthcare market and develop frameworks to understand these outcomes. The is course will be taught by Mike Pykosz, co-founder of Oak Street Health. Mike took OSH from start-up in 2012 to strategic acquisition in 2023 when CVS acquired OSH for $10.6B. Today's managers are not just leading companies anymore; they are designing ecosystems. The course will emphasize how value is created and captured by distinct parts of the value chain and how new models impact the ways people access healthcare products and services.