This session from Yale's Introduction to Medical Software course looks at how health systems are rewriting their business models under pressure from rising costs, new technology, and the shift toward value-based care. The instructor walks through four strategic postures health systems can take, described as leader, experience, integrator, and manager, and explains how each responds differently to competition and reimbursement change. The lecture spends time on the learning healthcare system, where clinical data feeds back into care design, and on patient-driven technologies like on-demand telehealth that are pushing decision-making toward consumers. It closes with the RAPID framework, a five-part checklist covering regulatory constraints, alternative payment models, patient needs, innovation capacity, and data infrastructure, offered as a practical tool for building sustainable healthcare software ventures. Sixteen minutes, aimed at students thinking about where software fits into hospital and insurer strategy rather than at clinicians or engineers.