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Strategist | strategy-catalyst

Two predictions for 2026: Payvider rebounds, and Trump’s second phase

A slide titled “Our 2026 Predictions for Health System Strategists,” showing two prediction items. The first item, marked with a handshake icon, reads “Payvider M&A rebound.” The second item, marked with a document-and-pen icon, reads “The Trump administration’s pivot to rulemaking.”

Health systems weathered a challenging mix of financial headwinds, policy surprises, and market volatility in 2025. As the page turns on a new year, we’re thinking about what’s going to change and what will stay the same in 2026.

For this week’s Key Market Dive, we’ve assembled two speculative predictions about the key trends that will shape the coming year for health system strategists. While neither of these forecasts is a sure thing, we hope it provides some intellectual fodder for debates you’re having with colleagues and peers.

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