Why Healthcare Keeps Cycling Between Building In-House and Bringing in Partners

Healthcare organizations often move in cycles. They build new capabilities internally, bring in partners for scale or speed, then build again when the next wave of technology arrives.

In this episode, Mike Moore is joined by Mark Nelson, a longtime healthcare operator and technology leader, to unpack why this cycle is so common and why it’s a rational response to risk, regulation, and accountability in healthcare.

The conversation looks at how AI fits into this pattern, what healthcare leaders should consider as they plan for 2026, and how to be more intentional about what to own, where partners add value, and how to tie AI efforts to real operational outcomes.