Health Systems Come Together to Build ‘Health Care Utilities’
The nonprofit Mindshare Institute, which was set up to solve systemic market failures in the U.S. healthcare system by building what it calls large-scale “health care utilities,” had created a leadership council convening senior leaders from healthcare delivery, academia, technology, venture capital, and industry.
The formation of the Mindshare Leadership Council reflects momentum across healthcare to pursue solutions that require coordination beyond traditional organizational and sector lines. “The challenges facing healthcare today are too complex for any one organization to solve alone,” said Carter Dredge, president of the Mindshare Institute, in a statement. “The Mindshare Leadership Council brings leaders together across sectors to think differently, align around shared priorities, and translate collective insight into action that can reshape markets and improve outcomes.”
Besides serving as president of Mindshare Institute, Dredge is executive director of Intermountain Health Institute. Previously, he held senior roles at SSM Health, including Chief Strategy & Transformation Officer and Lead Futurist, overseeing strategy.
Members of the Mindshare Leadership Council include:
• Rob Allen, President and CEO of Intermountain Health
• David Banks, President and CEO of AdventHealth
• Eduardo Conrado, President and CEO of Ascension
• Leemore Dafny, Economist and Professor at Harvard Business School
• Carter Dredge, President of the Mindshare Institute
• Laura Kaiser, President and CEO of SSM Health
• David Langstaff, former Executive Vice President at the Aspen Institute
• Tom Lee, Chief Medical Officer of Press Ganey and Editor-in-Chief of NEJM Catalyst
• Dan Liljenquist, Chief Strategy Officer of Intermountain Health
• Amy Perry, President and CEO of Banner Health
• Greg Yap, Partner at Menlo Ventures
In a commentary piece, Dredge noted that the the first example of a health care utility was Civica Rx, which was founded by seven health systems and three philanthropies. Multiple institutions came together to disrupt hospital-use generic pharmaceuticals. “Civica Rx's novel mission-oriented strategy took root — and grew rapidly — improving access and reducing costs for millions of patients. As of June 2025, the company has grown to nearly 60 health systems, more than 1,400 hospitals, and has helped treat an estimated 90 million patients,” he wrote. “When essentials are treated as shared infrastructure rather than profit-maximizing assets, markets can heal themselves. Competition increases, efficiency and agility still matter, bona fide novel innovation in the market is left unharmed, and the end objective is the lowest sustainable cost as opposed to highest achievable margin.”
“The Mindshare Institute provides an opportunity to rethink how we solve these problems, and reflects what is possible when leaders come together with a shared commitment to impact,” said MLC member Laura Kaiser, president and CEO of SSM Health, in a statement. “We’ve shown what is possible through Civica Rx, which is bringing lower-cost medications to the hospitals and people who need them. The Institute builds on that success.”
“From an integrated health system leadership perspective, we appreciate the Mindshare Institute focus on solving market failures through disciplined collaboration at national scale,” said Amy Perry, president and CEO of Banner Health and MLC member, in a statement. “The Health Care Utility model aligns incentives across health systems, payers, and partners in a way that reduces risk, creates durable value, and makes large‑scale impact possible.”
About the Author

David Raths
David Raths is a Contributing Senior Editor for Healthcare Innovation, focusing on clinical informatics, learning health systems and value-based care transformation. He has been interviewing health system CIOs and CMIOs since 2006.
Follow him on Twitter @DavidRaths
