Alex Kist

Optum consulting expert who advises health systems on operations and growth execution, offering market perspectives on workforce, technology, and strategic prioritization.

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Mar 10, 2026 • 32min

289: What are health systems doing in 2026? Results from our survey are in.

Alex Kist, an Optum consultant on health system operations and growth, and Marisa Nives, an Advisory Board researcher who leads the Strategic Planner Survey, discuss 2025 performance and 2026 priorities. They unpack why revenue gains often fail to become margin, the role of operational excellence, throughput and referral capture, ambulatory and primary care growth, and where systems should focus resources and tech investment.

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