2025 was a watershed moment for the healthcare system. As cost, access, and morbidity pressures continued to mount, the One Big Beautiful Bill Act (OBBBA) turned the knob with the most significant shift in coverage and spending in decades. Following its passage, healthcare affordability remained front-and-center, becoming the principal issue of the government shutdown this fall.
As we look ahead to 2026, we have to believe we are in the midst of a fundamental paradigm shift in which innovation will no longer be a mere differentiator or strategic advantage — it will be a determinant of survival.
Healthcare organizations that can thoughtfully adapt to the current environment — a paradox of heightened demand and constricting budgets — are best poised to maintain or grow their market positions and serve their communities in perpetuity.
With that in mind, partnerships between incumbents and innovators are more important than ever, and our mission to bridge the divide between these worlds has never felt more critical. With more than 30 health systems and payer organizations as strategic limited partners, we maintain a deep, ongoing understanding of the healthcare system, its needs and challenges. At the same time, our constant engagement with entrepreneurs gives us a firsthand view of how the innovation economy is evolving to meet the moment with technological advancements and new business models. Positioning ourselves at this intersection enables us to identify the people, products and services that address the needs of the system and connect them directly with organizations that are ready to adopt and deploy, all while helping to build the trust and alignment required for meaningful change.
In this second edition of our Impact Report, we’ll continue to convey our mission of investing in companies best positioned to have a significant and sustainable effect on the healthcare system. Specifically, we’ll outline the three pillars we use to define impact — Creating Healthier Communities, Expanding Access to Care, and Building Sustainable Systems — and share four in-depth portfolio case studies, along with the collective impact across the full LRVHealth portfolio.
