Tag

Tagged: MedTech

Sponsored
  • Many MedTech firms face stagnation, mounting debt, and innovation gaps in a rapidly evolving healthcare landscape
  • Sustainable M&A requires a shift from short-term financial fixes to long-term, innovation-led strategies
  • This Commentary presents a framework for systematically evaluating acquisitions against strategic and operational priorities
  • Actionable steps are required for disciplined M&A, aligning investments with future healthcare demands
 
Disciplined M&A for MedTechs 

Over the past four decades, the MedTech industry has transitioned from its early innovation-driven roots to a mature, consolidated landscape marked by growing complexity. Mergers and acquisitions (M&A), long celebrated as the engine of growth, have often resulted in unintended consequences: market oligopolies, diminished R&D productivity, and a slow response to emerging technologies reshaping healthcare delivery. Historically, the pursuit of acquisitions has frequently stretched executive teams and operational systems while increasing debt burdens - efforts that have sometimes failed to generate meaningful value. This pattern raises questions about the sustainability of traditional M&A strategies and underscores the need for a strategic overhaul. Today, many established underperforming MedTechs – dubbed the “have-nots” in a 2024 McKinsey report - find themselves tethered to legacy products, bureaucratic structures, risk-averse leadership, and incremental innovation. This inertia hinders their ability to adapt to fast-evolving market dynamics and the accelerating demands of modern healthcare.

The widespread reliance on debt financing has increasingly complicated the growth trajectories of many MedTech firms. While leveraging debt has historically fuelled expansion, this strategy often prioritises financial engineering over operational excellence and innovation. Debt burdens constrain strategic flexibility, especially during market disruptions or heightened regulatory scrutiny. Moreover, the elevated role of finance within corporate structures can shift priorities toward short-term profitability, diverting resources away from investments in R&D, advanced manufacturing, and sustainable quality systems. This overdependence on financial mechanisms and banking relationships tends to undermine the cultivation of robust collaborative ecosystems - dynamic networks of partnerships among industry players, academia, tech giants, start-ups, regulatory bodies, and supply chains - that are essential for fostering resilience, adaptability, and innovation. Consequently, companies become vulnerable to credit market fluctuations, which not only limit their financial agility but also impede their ability to prioritise patient outcomes and drive innovations, ultimately subordinating long-term value creation to short-term financial gains.

To regain momentum and achieve sustainable growth, MedTech firms must transition from reactive, acquisition-heavy strategies to proactive, innovation-led approaches. This transformation calls for the adoption of technologies, a focus on patient-centric solutions, the development of bold and adaptive leadership, and the alignment of R&D efforts to address critical, unmet healthcare needs. While M&A will remain a cornerstone of strategic growth, it must be reimagined within a disciplined, purpose-driven framework - prioritising acquisitions that strategically support long-term value creation and address the evolving demands of global healthcare. This forward-looking approach positions MedTech companies not just to survive but to lead in shaping the future of healthcare innovation.

 
In this Commentary

This Commentary provides a strategic roadmap for MedTech leaders, offering clear, actionable criteria for evaluating acquisitions and a simple, model for disciplined decision-making. It emphasises strategies that not only ensure acquisitions drive transformative innovation but also foster inclusivity and transparency, essential for eroding entrenched bureaucratic cultures. By adopting this approach, MedTech firms can shift their M&A strategies from reactive and incremental to proactive and transformative, positioning themselves as leaders in an evolving global healthcare landscape.
 
The Challenges Facing Traditional MedTech Companies

For decades, MedTech companies have relied heavily on debt financing to fuel growth through acquisitions, capitalising on the perceived stability of healthcare markets and historically low interest rates. While this strategy enabled short-term expansion, it has also left many firms burdened with debt, aging legacy portfolios, and an underinvestment in innovation. These financial and operational constraints have hindered their ability to adapt to shifting market dynamics and emerging technologies. Key challenges include:
  1. Stagnant Growth Underperforming MedTech companies frequently grapple with sluggish market growth, associated with a dependence on aging product portfolios. This reliance often curtails their capacity for innovation, erodes competitive differentiation, and narrows the pathways to revenue expansion or transformative market disruption.
  2. Erosion of Competitive Advantage Over-reliance on debt-financed acquisitions has diverted critical resources away from R&D, hindering innovation and leaving firms vulnerable to disruption by more agile, technology-driven competitors focused on dynamic market needs.
  3. Shifting Healthcare Priorities The rapid adoption of advanced technologies like artificial intelligence (AI), genomics, and IoT is transforming healthcare delivery. However, many under-resourced firms struggle to develop the capabilities or partnerships necessary to leverage these innovations effectively, risking reduced competitiveness in a rapidly evolving landscape.
  4. Valuation Pressures A McKinsey report (October 2024) emphasises that leading MedTech firms achieve success by outpacing industry growth, prioritising quality, fostering innovation, expanding profit margins, and ensuring strong cash flow. Investors are increasingly prioritising long-term value creation, scrutinising acquisitions for both their strategic alignment and financial returns. Companies that fail to demonstrate sustainable growth or achieve meaningful synergies risk declining valuations, emphasising the need for disciplined execution and a forward-thinking strategy in an increasingly competitive environment.

The Case for a Disciplined M&A Strategy

In today’s increasingly competitive and mature MedTech market, M&A must evolve beyond short-term financial engineering to prioritise sustainable, long-term value creation. To remain competitive and foster innovation, firms must adopt a disciplined approach to M&A that aligns with strategic objectives, strengthens operational capabilities, and addresses the evolving demands of healthcare. When guided by fundamental principles and a clear vision, M&A has the potential to drive transformative growth and position companies as leaders in the industry. Key principles include:
  • Strategic Alignment Acquisitions must be carefully aligned with the company’s vision and long-term goals. This involves identifying opportunities that address critical capability gaps, expand geographic reach, or strengthen presence in high-growth market segments, ensuring the acquired assets contribute meaningfully to strategic priorities.
  • Innovation-Centric Focus As technological advancements like AI, robotics, and personalised medicine reshape the healthcare landscape, successful acquisitions should prioritise enhancing technological and innovation capabilities. By fostering R&D growth and future-proofing product portfolios, companies can remain competitive and relevant in a rapidly evolving industry.
  • Value Creation Acquirers must articulate and achieve measurable value creation. This includes identifying and delivering revenue synergies, operational efficiencies, and enhanced patient outcomes. A comprehensive post-acquisition integration plan is critical to realising these benefits, ensuring the financial rationale is translated into tangible, real-world outcomes. Such plans must prioritise sophisticated and detailed manufacturing processes, design issues, quality systems, and supply chains, recognising their role in driving sustained value and innovation.
  • Cultural Compatibility Integration success depends on cultural alignment between the acquiring and target companies. Cultural misalignment can undermine collaboration and erode value, making an evaluation of organisational values, leadership styles, and operational approaches a critical component of the due diligence process.
Adopting a disciplined, strategic M&A framework enables MedTech companies to strengthen their competitive position, drive innovation, and deliver enduring value to stakeholders. 
 
Criteria for Evaluating Potential Targets

To guide M&A decisions, MedTech leaders should evaluate potential targets against five key criteria:
 
Strategic Fit
Does the target company align with our long-term goals and core competencies?
Does it address unmet needs in high-growth or underserved markets?
Does it provide access to transformative technologies or new customer segments?
 
Innovation Potential
Does the target have a strong pipeline of innovative products or technologies?
Are there opportunities to integrate advanced technologies, such as AI, robotics, or digital health solutions, into our portfolio?
Does the target have access to dynamic ecosystems of innovation, such as academic research hubs and start-ups?

Financial Viability
Is the target financially stable, with manageable debt levels and healthy cash flows?
Are the acquisition costs reasonable, with clear potential for revenue synergies and operational efficiencies?
Does the target have a track record of sustainable growth and profitability?

Cultural Compatibility
Does the target company’s culture align with our own, promoting seamless integration and collaboration?
Are there shared values, such as a commitment to innovation, quality, diversity, and patient outcomes?
Are key leadership and talent retention risks manageable?

Regulatory and Market Risks
Are there regulatory or market barriers to the acquisition?
Does the target operate in regions with favourable reimbursement policies and healthcare systems?
Are there geopolitical or macroeconomic risks that could impact the acquisition’s success?

Optimising M&A Decisions

In the complex and high-stakes environment of MedTech M&A, a structured, inclusive, and transparent evaluation process is suggested for disciplined decision-making. A weighted average model offers a simple, practical, and scalable solution for assessing potential acquisitions. This assigns relative weights to key evaluation criteria - such as strategic alignment, innovation potential, financial impact, cultural fit, and integration feasibility - based on their importance to the organisation’s goals. Each target is then scored against these criteria, producing a composite score that serves as the foundation for decision-making.

A key advantage of this model lies in its flexibility and inclusivity, allowing for the engagement of a diverse range of board directors and senior executives across various functions, tailored to meet specific organisational needs. This fosters collaboration, ensures diverse perspectives are considered, and builds consensus. The resulting output often visualised using a traffic light system, provides an intuitive, actionable framework that simplifies the evaluation process and highlights opportunities with the greatest potential to create long-term value.


Step 1: Define Weights for Each Criterion
The first step in the model involves assigning relative weights to the evaluation criteria based on their strategic importance to the organisation. This process emphasises inclusivity and transparency by allowing input from directors and senior executives, ensuring diverse perspectives are reflected. The final weights are calculated as the average of all participants' inputs, fostering a sense of shared ownership and alignment.
For example, the following distribution might emerge:
  • Strategic Fit: 30%
  • Innovation Potential: 25%
  • Financial Viability: 20%
  • Cultural Compatibility: 15%
  • Regulatory and Market Risks: 10%
This approach not only democratises the decision-making process but also ensures that each participant’s priorities are considered. By assigning collective weights, the model creates a transparent framework that highlights the organisation’s consensus on what matters most, making it easier to evaluate potential acquisitions against shared strategic goals.

Step 2: Score Potential Targets
The second step involves scoring each potential acquisition target on a standardised scale, typically from 1 to 10, for each evaluation criterion. Higher scores reflect stronger performance or alignment with the organisation’s strategic goals, providing a consistent and objective basis for comparison.
For example, a potential target might be scored as follows:
  • Strategic Fit: 8
  • Innovation Potential: 7
  • Financial Viability: 6
  • Cultural Compatibility: 5
  • Regulatory and Market Risks: 9
This scoring process is designed to be inclusive, allowing directors and executives to contribute their evaluations. Individual scores are averaged to ensure that the final ratings reflect the collective perspective, promoting transparency and consensus. By involving a diverse group of stakeholders, this step ensures that scores account for a range of expertise and viewpoints, creating a robust and well-rounded assessment of each target’s strengths and weaknesses.

Step 3: Calculate Weighted Scores
Building on the weights defined in Step 1 and the scores determined in Step 2, the next step involves calculating the overall weighted score for each potential acquisition target. This is achieved by multiplying each criterion’s score by its corresponding weight and then summing the results. The weighted score provides a single, composite metric that reflects how well a target aligns with the organisation’s strategic priorities and performance benchmarks.

The formula for calculating the weighted score is:
                              Weighted Score = ∑ (Criterion Score × Weight)

Using the example weights and scores:
  • Strategic Fit: 8 × 0.30 = 2.48 × 0.30 = 2.4
  • Innovation Potential: 7 × 0.25 = 1.757 × 0.25 = 1.75
  • Financial Viability: 6 × 0.20 = 1.26 × 0.20 = 1.2
  • Cultural Compatibility: 5 × 0.15 = 0.755 × 0.15 = 0.75
  • Regulatory and Market Risks: 9 × 0.10 = 0.99 × 0.10 = 0.9

The overall weighted score is:
Weighted Score = 2.4 + 1.75 + 1.2 + 0.75 + 0.9 = 7.1


This process links seamlessly with Step 1, where weights were collectively determined, and Step 2, where targets were scored collaboratively. By averaging inputs from directors and executives, the model ensures that the weighted scores embody an inclusive and transparent evaluation. The result offers a clear, data-driven metric to rank acquisition opportunities, guiding informed and consensus-driven decision-making.

Step 4: Interpret the Results
The final step translates the weighted scores into a simple and intuitive traffic light system, offering clear guidance for decision-making. This system ensures that results are easily understood by all stakeholders, and provides a sound basis for next steps.
  • GREEN (7.5–10): High-potential target. These acquisitions strongly align with strategic goals, demonstrate clear synergies, and carry manageable risks. Proceed to detailed due diligence with confidence, focusing on integration planning to maximise value.
  • AMBER (5.0–7.4): Moderate potential. These targets show promise but require careful evaluation of risks, synergies, and potential challenges. Additional scrutiny is needed to determine whether the opportunity aligns with long-term goals and justifies further investment.
  • RED (0–4.9): Low potential. These acquisitions are unlikely to add meaningful value or align with strategic priorities. Unless extraordinary circumstances exist, they are not recommended for pursuit.
The traffic light system streamlines communication and emphasises accountability and actionability. Targets scoring in the green range warrant immediate attention, while those in amber demand further discussion and risk assessment. Red scores signal a clear decision to deprioritise or avoid the opportunity, ensuring resources are allocated efficiently.

This scoring framework, built on the inclusive and transparent processes of Steps 1–3, empowers decision-makers to act decisively and collaboratively, balancing rigour with simplicity in evaluating M&A opportunities.

 
Operationalising the Model

Effectively implementing the model requires a structured, collaborative, and adaptive approach. MedTech companies can operationalise the model by focusing on the following steps:
  1. Develop Clear Guidelines Establish standardised and well-defined evaluation criteria aligned with the company’s strategic goals. Ensure weighting schemes are flexible yet consistent, reflecting organisational priorities while allowing adjustments for unique acquisition contexts. Clear documentation ensures transparency and consistency across evaluations.
  2. Build Cross-Functional Teams Form evaluation teams that include representatives from key functions such as finance, R&D, operations, quality systems, and corporate development. This ensures a comprehensive assessment, capturing diverse perspectives and expertise to address both qualitative and quantitative dimensions of potential acquisitions.
  3. Leverage Data and Analytics Incorporate advanced analytics, AI, and market intelligence tools to evaluate potential targets. These technologies can identify patterns, trends, and risks that may not be immediately visible, providing deeper insights to strengthen decision-making.
  4. Ensure Board Alignment Engage board members early in the M&A process to agree on strategic priorities, evaluation criteria, and weightings. This proactive alignment reduces the risk of last-minute disagreements and ensures the board has a clear understanding of the decision-making framework.
  5. Monitor and Refine Regularly evaluate the model’s performance by analysing outcomes from completed acquisitions. Use insights to refine the evaluation criteria, weightings, and processes, ensuring the model evolves with the company’s strategy and the dynamic MedTech landscape.
By embedding these steps into the organisation’s M&A strategy, MedTech companies can foster a disciplined, data-driven, inclusive, and transparent approach, enabling them to capitalise on opportunities and drive sustainable growth.
 
Takeaways

For MedTech underperformers achieving sustainable growth requires a shift toward a disciplined, innovation-driven approach to M&A. By focusing on key factors such as strategic fit, innovation potential, financial viability, cultural compatibility, and regulatory awareness, leaders can make informed, value-enhancing acquisition decisions. These priorities not only improve valuations but also drive meaningful growth and deliver better patient outcomes. The model offers a simple, practical, transparent, and inclusive tool for evaluating acquisition opportunities, ensuring M&A strategies are rooted in rigorous analysis and aligned with long-term corporate goals.

In a rapidly evolving healthcare landscape, the MedTech companies poised for success will be those that transcend the debt-driven, short-term tactics of the past. The future belongs to organisations that prioritise transformative innovation and strategic partnerships, using M&A not as an end but to enhance capabilities, broaden market reach, and generate sustainable value. For visionary leaders willing to champion these shifts, the rewards extend beyond financial gains - encompassing the cultivation of inclusive, transparent organisational cultures and a significant, positive impact on patient outcomes worldwide. By adopting this approach, corporations can solidify their position as trailblazers in a highly competitive and dynamic industry.
view in full page
Launching in January 2025, HealthPadTalks, our ground-breaking podcast series, will explore transformative health trends - from AI advancements to genomic innovations - while elevating patient perspectives and tackling pressing global challenges. Designed for professionals and patients, we spark conversations to shape the future of care, access, and outcomes. Join us! 
view in full page
  • The MedTech industry’s debt-driven growth has succeeded but it now faces challenges like stifled innovation and inefficiency
  • Leaders must rethink M&A, prioritise deleveraging, embrace digital transformation, and foster R&D partnerships to navigate a changing landscape
  • Adapting to personalised home-based care and tailoring strategies for emerging markets are needed for future success
  • Achievement hinges on mastering digital health, sustainability, agile leadership, and global market adaptation

Ending MedTech's Debt Era: A Call for Strategic Renewal

Over the past four decades, the MedTech industry has transformed healthcare, improving, and saving billions of lives while reshaping society. Pioneering innovations have expanded access to care, empowered healthcare providers and patients, and redefined the management of diseases. During this period of change, debt financing emerged as a cornerstone of growth, enabling MedTech leaders to push boundaries and redefine markets through ambitious mergers and acquisitions (M&A). Landmark deals, such as Medtronic’s $50bn acquisition of Covidien in 2015 and Johnson & Johnson’s $16.6bn purchase of Abiomed in 2022, illustrate how access to capital has driven strategic expansion and reshaped the global MedTech landscape.

Even in times of economic upheaval, such as the 2008 financial crisis, the perceived stability of healthcare allowed MedTech companies to access debt markets with relative ease. Firms like Stryker and Zimmer Biomet leveraged this financial resilience to fuel acquisitions, enter new markets, and invest in emerging technologies. Historically low interest rates during the 2000s and 2010s further reinforced the sector’s preference for debt over equity, leading to a persistent reliance on leverage as a growth mechanism. This approach not only enabled companies to scale rapidly but also delivered consistent returns to investors while addressing critical healthcare needs.

However, the reliance on debt financing has subtly but significantly influenced the strategic orientation of MedTech companies. Decades of alignment with banks and financial institutions have tended to elevate the significance of finance within corporate decision-making. Yet, while partnerships with the financial sector have flourished, collaboration with other equally critical stakeholders - such as research institutions, tech giants, start-ups, and centres of excellence in areas like AI, machine learning, genomics, blockchain, and IoT - has often been neglected. This gap has constrained many companies’ ability to harness the full potential of rapidly evolving technologies and their promise to disrupt and redefine healthcare.

Today, the MedTech industry stands at a crossroads. For many traditional firms, stagnant valuations, slowing growth trajectories, and shifting healthcare priorities signal that the debt-driven strategies of the past may no longer suffice. Market consolidation, while enabling economies of scale, has had unintentional consequences that have stifled competition, diverted resources from transformative R&D, and entrenched an incremental approach to innovation. As healthcare systems worldwide confront aging populations, increasing demands for equitable access, and the integration of advanced technologies, the urgency for change has never been greater.

The path forward requires rethinking MedTech’s growth model - one that moves beyond the short-term gains of financial engineering toward long-term value creation. This entails renewed investments in transformative innovation, sustainability, and equitable healthcare delivery. It also calls for cultivating broader and more impactful collaborations with the world’s most dynamic ecosystems of innovation, from academic research hubs to disruptive start-ups and technology leaders. Only by embracing this shift can MedTech companies remain relevant, resilient, and capable of addressing the complex healthcare challenges of the 21st century.

Reducing the dominance of MedTech’s debt era is not merely an economic transition; it is an opportunity to reimagine the industry’s role in shaping the future of health.

 
In this Commentary

This Commentary explores the transformative journey of the MedTech industry as it transitions from a debt-driven growth model to a future focused on strategic evolution. It examines the consequences of debt dependency, such as stifled innovation and operational inefficiencies, and outlines a roadmap for success in an era shaped by digital transformation, patient-centric care, and global market adaptation. With insights on M&A strategies, deleveraging, R&D, and leadership, it offers a vision for the industry’s next chapter.
 
A Perfect Storm of Industry Transformation

Healthcare delivery is on the brink of change, driven by converging forces reshaping the industry. In developed markets, aging populations are driving demand for more efficient, accessible care models. Meanwhile, middle- and lower-income nations, including economic powerhouses like China, India, and Brazil, are rapidly expanding their healthcare R&D capabilities, challenging the traditional dominance of Western MedTech firms. To stay competitive, industry giants like Johnson & Johnson (J&J), Abbott, and Medtronic have strategically established manufacturing and R&D hubs in these emerging markets, where growth rates outpace developed countries.

Simultaneously, care delivery is shifting from hospitals to homes and community settings, enabled by digital health innovations and patient-centric models. Since 1980, advancements in medical technologies have driven a 38% reduction in the number of patient-days spent in hospitals, reflecting a broader trend toward decentralised care.

At the same time, advances in biomedical science and technology - ranging from personalised medicine to artificial intelligence (AI) - are transforming how diseases are diagnosed, treated, and managed. Such breakthroughs coincide with an era of geopolitical volatility, characterised by increased regulatory scrutiny, evolving trade dynamics, and intensifying competitive pressures.
In this rapidly evolving environment, the traditional playbook of leveraging debt to achieve scale is no longer sufficient. Instead, MedTech companies must navigate these complexities with agility, investing in innovation, operational efficiency, and strategic partnerships to stay ahead in a redefined global healthcare landscape.
You might also like:

Revitalising MedTech Innovation: Strategies for Growth
The Consequences of Debt Dependency: Adapting to a Multipolar World

Historically, debt-financed growth has been a cornerstone of success for many MedTech companies, enabling rapid expansion and strategic acquisitions. This approach has allowed firms to scale quickly, consolidate market share, and deliver stable returns to investors. However, reliance on debt-driven strategies has also created challenges, particularly in today’s rapidly evolving landscape.

High leverage often constrains MedTech companies’ ability to allocate resources toward transformative R&D or respond nimbly to market disruptions. Overemphasis on M&A activity has frequently resulted in poorly integrated businesses, operational inefficiencies, and, in some cases, regulatory scrutiny - including FDA warnings and product recalls. This focus on financial engineering has, at times, come at the expense of building critical capabilities in digital transformation, innovation, and adapting to increasingly globalised and diverse markets.

Debt-fuelled consolidation has shaped an industry structure dominated by a handful of key players such as Medtronic, Johnson & Johnson, Abbott, and GE Healthcare, which consistently secure dominant positions in core segments like cardiovascular devices, imaging, and diagnostics. For instance, Medtronic alone holds >30% of the global pacemaker market, and the top 10 MedTech firms collectively account for ~50% of global market revenue. These industry giants leverage extensive distribution networks and economies of scale, creating substantial barriers to entry for smaller competitors and enabling tight control over pricing and market access.

While this concentration has historically provided stability and predictability, it has also stifled competitive pressures. Incrementalism in innovation - where advancements are evolutionary rather than disruptive - has become a hallmark of the sector. Additionally, pricing strategies driven by dominant players often place financial strain on global healthcare systems, compounding affordability challenges.

The industry’s legacy focus on US-centric markets and financial paradigms has delivered substantial success. However, this approach risks becoming a liability in a multipolar world where healthcare delivery is being reshaped by rapidly evolving technologies, diverse patient voices, and regionally distinct regulatory environments. To remain competitive, MedTech companies must adapt to these shifts by embracing long-term investments in innovation, fostering regional responsiveness, and adopting sustainable growth practices that align with the needs of a dynamic and interconnected global market.

Strategically, the path forward requires a recalibration from short-term financial gains to a forward-looking approach - one that not only anticipates technological disruptions but also integrates the evolving expectations of patients and healthcare providers. In this era of transformation, agility, inclusivity, and sustained innovation will define success.

 
Preparing for the Future: A Strategic Reorientation
 
The MedTech industry is pivoting toward a technology-driven, patient-centric, value-based, care model, fuelled by AI, cloud computing, extended reality, and 5G connectivity. Achieving success in this evolving landscape will require seamless data sharing, integration of virtual care, and robust cross-sector collaboration. As debt-fuelled growth gives way to a focus on resilience and adaptability, MedTech firms must align with emerging healthcare paradigms to stay competitive and ensure long-term success. This means embracing innovation, operational excellence, and digital transformation while rethinking traditional growth models to meet the dynamic needs of patients, providers, and regulators. The six strategies outlined below provide a roadmap to navigate this transformation effectively.

1. Rethinking M&A with a Strategic Lens
MedTech companies must transition from broad, growth-focused acquisitions to a more deliberate and strategic approach to M&A aimed at fostering sustainable, long-term value. This means focusing on deals that enhance core capabilities, such as digital health, advanced data analytics, robotics, or access to high-growth emerging markets. Acquisitions should align with the company’s vision for future healthcare trends, including precision medicine, minimally invasive procedures, and patient-centric, value-based care. Medtronic’s acquisition of Mazor Robotics illustrates this approach, enabling integration of robotics and AI into surgical platforms. Such targeted investments, which will be the subject of a future Commentary, ensure companies are positioned to lead in innovation and address evolving needs, rather than expanding scale.

2. Deleveraging to Unlock Flexibility
Reducing debt levels is an important step in freeing up capital for innovation and enhancing operational resilience. Companies such as Boston Scientific have exemplified this approach by strategically lowering their leverage in recent years. This financial discipline has enabled them to invest in high-growth areas like electrophysiology and structural heart therapies. Moreover, deleveraging fortifies businesses against economic and geopolitical shocks, laying a foundation for growth and long-term strategic flexibility.

3. Investing in Novel R&D and Partnerships
The future calls for a heightened commitment to transformative R&D, prioritising collaboration, and adaptability. Embracing open innovation models - through partnerships with start-ups, academic institutions, and technology leaders - has become essential. Johnson & Johnson’s JLABS initiative exemplifies this approach by offering critical resources and mentorship to early-stage innovators. These partnerships not only accelerate the development of ground-breaking solutions and services but also cultivate a dynamic ecosystem where ideas flourish, reinforcing a culture of innovation that drives sustainable progress.

4. Digitisation and Operational Excellence
Digital transformation has become an imperative rather than an option in today’s competitive landscape. Organisations must digitise their operations, products, and services to drive efficiency, improve patient outcomes, and maintain market relevance. Siemens Healthineers’ syngo Virtual Cockpit exemplifies the power of digital innovation, enabling remote operation of imaging systems to tackle real-world healthcare delivery challenges. By integrating advanced technologies, companies can address critical needs and unlock new avenues for value creation and growth.

5. Expanding into New Markets
Emerging markets offer growth potential, but capturing this opportunity requires more than exporting existing products. Success hinges on tailoring solutions to meet local needs, fostering partnerships, and understanding the challenges of these regions. Abbott’s strategy exemplifies this approach through its development of affordable diagnostic tools designed for low-resource settings. This focus has bolstered its presence in rapidly expanding markets like India and Africa, where rising healthcare demand aligns with innovative, cost-effective solutions.

6. Enhancing Patient-Centric Solutions
As healthcare increasingly shifts to homes and communities, companies must innovate solutions and services that empower both patients and caregivers. Wearable devices, telehealth platforms, and remote monitoring tools are no longer optional but essential for modern care delivery. Philip’s strategic transformation into a health technology leader emphasises this trend, with a focus on connected care and informatics. By aligning with patient-centric models, such innovations improve access, enhance patient outcomes, and address the growing demand for personalised, decentralised care solutions.
 
Beyond Financial Acumen: The Capabilities of the Future

The capabilities essential for future success in the MedTech industry extend beyond traditional financial engineering and banking relationships. To remain competitive and drive innovation, companies must develop and prioritise expertise in critical areas such as:
  • Digital Health and Data Science Harnessing the power of AI, machine learning, and data to drive innovation and improve decision-making.
  • Global Market Adaptation Navigating diverse regulatory environments, cultural contexts, and economic conditions to expand access and market share.
  • Collaborative Innovation Building ecosystems of partners, from start-ups to tech giants, to accelerate the development and deployment of new solutions and services.
  • Agile Leadership Embracing adaptive, forward-thinking leadership that prioritises resilience, ethical decision-making, and a long-term vision.
  • Sustainability and Equity Addressing the growing demand for sustainable practices and equitable access to healthcare, particularly in underserved markets.
Takeaways

The MedTech industry has achieved significant milestones over the past 40 years, largely driven by an American worldview and a debt-fuelled growth model. This era has brought life-saving technologies to billions, established globally recognised brands, and delivered substantial returns to stakeholders. These accomplishments deserve recognition. However, the landscape is changing, and the industry now faces a pivotal moment. The future promises to be different, shaped by transformative technologies, shifting care paradigms, and an increasingly multipolar world.

Forward-thinking leaders understand that the strategies of the past are no longer sufficient. They are embracing change by reducing reliance on debt, adopting disciplined and strategic M&A approaches, accelerating digitisation, investing in transformative R&D, and fostering collaboration across ecosystems. These actions not only prepare companies to navigate an evolving market but also position them to lead an era of innovation.

The next chapter for MedTech will be defined by those willing to adapt and anticipate the needs of a rapidly changing world. By building capabilities that align with the evolving expectations of patients, providers, and societies, these leaders will chart a path toward sustainable growth, technological advancement, and a more equitable and patient-focused global healthcare system.
view in full page
  • The MedTech sector has a value gap between high-growth innovators and stagnant legacy companies
  • Successful transformation requires leaders with deep regulatory expertise, a strong focus on patient-centred innovation, and adaptability that goes beyond traditional leadership skills
  • Achieving sustainable growth demands bold innovation and strategic agility, prioritising long-term impact over short-term gains
  • The Commentary offers an actionable roadmap for CEOs to build a patient-centred culture, embrace digital transformation, and capitalise on global market opportunities

Transforming MedTech: A CEO’s Playbook

An October 2024 McKinsey Report highlights a growing divide in MedTech value creation: "The top value creators have outpaced the S&P 500, while the rest of the industry has struggled. . . . investor behaviour has revealed just how wide of a gap they see between these cohorts." The US, as the largest MedTech market, represents ~40% of global trade in the sector, with AdvaMed, the American MedTech trade association, reporting ~6,500 MedTech companies across the nation. Most of these firms are small to medium enterprises, consistently maintaining a trade surplus that exceeded $1.1bn as recently as 2017. The industry’s contributions range from ground-breaking advancements in nanotechnology, imaging, and genetic testing used by international healthcare leaders to everyday essentials like bandages, thermometers, and catheters. As emphasised by AdvaMed, innovation remains at the heart of this sector’s growth and resilience.

However, the landscape is shifting. Many MedTech firms are anchored in legacy products and slower-growth markets - what McKinsey dubs the “have-nots”. These companies face stagnating innovation pipelines, flat revenues, and declining valuations. The stakes for MedTech leaders of these enterprises are high: the need for innovative growth is urgent, and competition is fierce, both from traditional MedTech players and from emerging digital health disruptors.

Leading a successful MedTech transformation demands more than standard CEO capabilities. The regulatory, ethical, and operational needs specific to MedTech set this industry apart, making general CEO guidance inadequate. Traditional leadership advice often overlooks sector-specific nuances, such as stringent FDA compliance, prioritising patient safety, and navigating extended R&D cycles. For a new MedTech CEO aiming to lead a transformation, mastering these elements, and cultivating an adaptable, future-focused approach is crucial.

 
In this Commentary

This Commentary explores the challenges and essential strategies for a new CEO aiming to transform a traditional MedTech company. It examines the current industry landscape, marked by a divide between high-growth innovators – “the haves” - and stagnant companies – “the have-nots” - and outlines the specific capabilities a MedTech CEO must develop. These include visionary leadership, patient-centred innovation, and adaptability to regulatory demands. Emphasising long-term growth over short-term gains, this guide serves as a practical roadmap for driving sustainable success and redefining leadership within the MedTech sector.
 
Beyond General CEO Playbooks: MedTech-Specific Leadership Needs

Two widely recognised resources for new CEOs are CEO Excellence: The Six Mindsets that Distinguish the Best Leaders from the Rest (McKinsey & Company, 2022) and The New CEO: Lessons from CEOs on How to Start Well and Perform Quickly by Ty Wiggins, an advisor specialising in CEO transitions. While each offers valuable insights, neither fully addresses the unique hurdles MedTech leaders face. CEO Excellence emphasises results-oriented mindsets, customer-centric strategies, and team building, all beneficial in traditional industries. However, MedTech requires specialised strategies to manage regulatory compliance, prioritise patient safety, and navigate lengthy R&D cycles where even minor compliance lapses can jeopardise patient outcomes and regulatory standing.

Similarly, The New CEO offers insights on avoiding pitfalls and making swift impacts, yet this general approach disregards specific risks in MedTech, such as navigating complex sales channels, managing extensive clinical trials, and adhering to rigorous safety standards. Rapid transformations, encouraged in this book, may be hazardous in MedTech, where safety and regulatory compliance demand a more cautious, strategic approach.

Both books emphasise innovation as a priority, but in MedTech, this is a high-stakes, long-term investment requiring regulatory validation. Thus, frameworks built around short-term profitability and agility fall short of addressing patient-centred, outcomes-focused approaches. Leaders must appreciate that in MedTech, patient safety and long-term investments outweigh short-term gains.

 
The Strategic Roadmap to Transforming a ‘Have-Not’ MedTech Company

For a new MedTech CEO, guiding a company from a “have-not” status - marked by bureaucracy, slow growth, and operational challenges - toward becoming a “have” requires a dynamic blend of strategic foresight, cultural reinvigoration, and operational precision. This transformation demands reshaping the company into an agile, innovation-driven leader capable of meeting the complex demands of the modern healthcare landscape. The following outlines the essential capabilities and leadership qualities necessary to drive a successful transformation, fostering a culture that embraces adaptability, enhances performance, and positions the company for sustainable, long-term growth.

1. Visionary Leadership and Strategic Foresight
  •  Market Vision: Innovations have reduced hospital stays by 38% since 1980, underscoring the transformative potential of emerging technologies. In 2023 alone, FDA approvals for MedTech AI rose by 43% reaching record highs. Advanced solutions like AI, generative AI,  Internet of Things (IoT), digital health, and personalised medicine are reshaping the industry. The CEO must anticipate these shifts and position the company as a leader in new care settings, from remote monitoring to AI-powered therapeutics.
  • Strategic Agility: A flexible, forward-thinking strategy is crucial. The CEO must adapt to evolving patient needs, regulatory landscapes, and market trends, ensuring the company remains resilient and competitive.
  • Growth Mindset: Driving market expansion and creating new revenue streams through disciplined M&A, strategic partnerships, innovative solutions and services and global initiatives will be key to sustained leadership and success. A future Commentary describes a process for disciplined M&A.

2. Innovative Thinking and R&D Transformation
  • Product Innovation: Shift the R&D focus from incremental improvements to ground-breaking innovations that address significant, unmet patient needs. The CEO should champion a patient-centric, outcomes-oriented strategy that not only enhances care quality but also ensures accessibility and affordability. Emphasising bold, differentiated solutions will position the company as a leader in transformative healthcare.
  • Technology Savvy: A visionary CEO must adeptly integrate cutting-edge technologies to drive innovation and maintain competitiveness. Key areas include digital health solutions like telemedicine, remote monitoring, and patient engagement platforms, alongside advancements such as AI, machine learning, robotics, and 3D printing for precision and personalised care. Expertise in IoT for real-time health monitoring, cloud computing for secure data management, and augmented and virtual reality (AR/VR) for medical training and treatment is crucial. Familiarity with regenerative medicine, genomics, biotech, and blockchain ensures readiness to navigate the evolving MedTech landscape effectively.
  • Design Thinking: Embedding a design-thinking mindset throughout the organisation can transform the R&D process. This approach emphasises empathy to deeply understand patient and clinician needs, rapid prototyping to accelerate iterative development, and continuous user feedback to refine products. This framework fosters responsiveness, creativity, and alignment with real-world healthcare challenges.

3. Cultural Transformation and Diversity Leadership
  • Diversity, Equity, and Inclusion (DEI) Leadership: Building a culture that embraces diverse perspectives and backgrounds is crucial to foster innovation. The CEO should champion structural changes to attract talent with fresh perspectives, particularly appealing to Gen Z’s values.
  • Empathetic Leadership: Cultivating an environment of empathy and psychological safety not only strengthens team morale but also unlocks creativity, fosters trust, and enhances employee loyalty.
  • Change Management Agility: Driving cultural shifts within established organisations requires dismantling silos and addressing resistance to change - particularly challenging with an average C-suite executive age of ~56 - to foster a more agile, collaborative environment.

4. Global and Patient-Centric Orientation
  • International Market Insights: Familiarity with global regulatory, cultural, and market demands is invaluable, especially in high-growth regions beyond the US.
  • Patient-Centric Perspective: Deeply understanding patient needs and outcomes on a global scale enables the development of tailored innovations that enhance both the quality of care and its accessibility, ensuring solutions are inclusive and impactful.
  • Customer Engagement and Brand Building: Establishing a patient-centric brand that embodies the company’s dedication to innovation and exceptional care quality creates a compelling differentiator in a competitive market, fostering trust and long-term loyalty.

5. Digital Transformation and Data-Driven Decision Making
  • Digital and Data Literacy: Proficiency in data analytics, AI, and digital technologies is essential for leveraging insights from patient data and operational metrics, enabling informed decision-making, and driving innovation.
  • Operational Excellence in Digital Health: Knowledge of telehealth, digital diagnostics, and wearable technologies equips the CEO to drive initiatives that improve patient outcomes, optimise operational efficiency, and position the organisation at the forefront of digital health innovation.
  • Digital Communication: Mastery of digital platforms to effectively engage external stakeholders - such as patients and clinicians - and connect with internal teams, particularly digital-native employees, strengthens the company’s innovative image and fosters a cohesive, forward-thinking culture.

6. Talent Acquisition and Development for the Future
  • Attracting and Developing Gen Z Talent: Building an authentic employer brand that aligns with the values and priorities of younger professionals is key. Focus on promoting opportunities for growth, flexibility, and meaningful social impact to engage and retain the next generation of leaders.
  • Upskilling and Reskilling for Future Readiness: Designing and executing comprehensive training initiatives ensures that employees remain competitive in an evolving landscape. Emphasis on cultivating advanced digital proficiencies and strategic capabilities is essential for driving long-term organisational success.

7. Resilience, Adaptability, and Ethical Stewardship
  • Adaptive Leadership: Excelling in dynamic environments requires a leader who can anticipate and respond to market shifts with agility and foresight. The ability to embrace ambiguity and recalibrate strategies swiftly is essential for navigating the complexities of the MedTech industry.
  • Ethical and Regulatory Expertise: A robust ethical foundation is indispensable, particularly in safeguarding data privacy, ensuring patient safety, and fostering trust. Navigating healthcare regulations demands a deep understanding of compliance frameworks and proactive risk management.
  • Commitment to Sustainability: Embedding sustainable practices into every aspect of the business - from operations and sourcing to product innovation - demonstrates alignment with Environmental, Social, and Governance (ESG) imperatives. This approach not only addresses investor and patient priorities but also solidifies the company’s reputation as a responsible industry leader.

8. Collaborative Ecosystem Building and Strategic Partnerships
  • Cross-Industry Collaboration: Historically reliant on banks to facilitate M&A, "have-not" MedTechs often overlook the transformative potential of broader partnerships. Establishing alliances with technology firms, research institutions, start-ups, and healthcare organisations can drive co-innovation, unlock new capabilities, and enhance competitiveness.
  • Ecosystem Strategy: Moving beyond traditional product-focused models, a robust ecosystem strategy integrates offerings with digital health solutions and complementary services. This holistic approach enhances patient outcomes, creates synergistic value, and reinforces the company’s leadership position in an increasingly interconnected healthcare landscape.
Takeaways
 
Transforming a MedTech company requires more than replicating traditional CEO playbooks; it demands a multifaceted approach rooted in innovation, patient-centred priorities, and operational adaptability. As the industry faces heightened competition and pressure to innovate, a successful CEO must leverage both strategic foresight and an understanding of sector-specific challenges. Building a future-ready company goes beyond finance, regulatory compliance, and incremental improvements - it requires visionary leadership that anticipates technological advancements, cultivates a culture of inclusion, and prioritises patient outcomes over short-term gains.

A MedTech CEO must embody resilience and agility, ready to navigate the complex landscape of regulatory frameworks, extended R&D cycles, and a digitally transforming healthcare environment. By championing cultural shifts, fostering global patient-centric innovation, and building strategic partnerships, the CEO can guide the company from stagnation to sustainable growth. Ultimately, achieving transformation is about creating an organisation that not only thrives in today’s competitive market but also sets a new standard for quality care, innovation, and ethical leadership that will resonate across the healthcare ecosystem for years to come. This roadmap is not just a guide for success; it is a call to redefine what leadership means in the MedTech industry.
view in full page
  • MedTech companies must shift from incremental improvements to transformative innovation to stay competitive in a fast-paced healthcare landscape
  • Exploring adjacent markets, such as personalised medicine and digital health, is crucial for growth in slow-moving markets
  • Embedding user experience research into product development helps address real-world healthcare needs and fosters faster market adoption
  • Embracing data-driven healthcare and digital solutions is essential for staying relevant and creating new revenue streams

Revitalising MedTech Innovation: Strategies for Growth

The MedTech industry has been a powerhouse of healthcare innovation, responsible for ground-breaking medical devices and diagnostics that save lives. However, many traditional MedTech companies now grapple with stagnant growth, low valuations, and a widening gap between the industry's trailblazers and those struggling to keep pace. While emerging firms leverage agile, tech-driven strategies, many established players remain anchored to legacy products, incremental research and development (R&D), and risk-averse leadership, making it difficult to adapt in a fast-evolving market. To regain momentum and drive sustainable growth, MedTech companies must shift from reactive management to a proactive, innovation-centric approach. This entails leveraging emerging technologies, fostering a culture of decisive action, and refocusing R&D efforts to address critical unmet healthcare needs. By adopting these forward-looking strategies, underperforming MedTechs can reclaim their roles as leading innovators in healthcare, delivering solutions and services that meet modern demands and improve patient outcomes.
 
In this Commentary

This Commentary explores actionable strategies for futureproofing MedTech businesses. By embracing breakthrough innovations, expanding, and diversifying product portfolios, and fostering a customer-centric culture, MedTech leaders can proactively address market shifts. Additionally, embedding digital transformation throughout operational processes is essential for creating agile, responsive, and efficient organisations. Together, these approaches enable executives to drive meaningful, lasting change and unlock pathways to sustainable growth, positioning MedTech firms to thrive amid evolving industry challenges and demands.
 
Shift from Incrementalism to Breakthrough Innovation
Challenge Many MedTech firms focus on incremental improvements rather than bold innovation, limiting their ability to capture new markets and drive value.
Strategy Establish a dual R&D structure that separates incremental improvements from high-impact, breakthrough innovation. Dedicate resources to a “safe zone” for bold projects, free from immediate commercial pressures. Setting up in-house innovation hubs, acquiring start-ups, and partnering with research institutions can spur innovation.
Example Medtronic’s integration of AI and deep learning in diabetes and cardiac care is an example of transformational R&D.


Recalibrate the Portfolio: Diversify Beyond Core Offerings
Challenge Over-reliance on legacy products ties firms to slow-growth markets, hindering revenue diversification.
Strategy Conduct a thorough portfolio review to identify areas ripe for growth, such as personalised medicine, digital health, and regenerative medicine. Shifting focus to high-growth areas like genomics and biomaterials offers opportunities to unlock new revenue streams. By targeting adjacent markets or entering non-traditional spaces, companies can reposition themselves in emerging sectors.
Example Companies investing in personalised healthcare could use DNA profiling to tailor interventions, opening lucrative new markets. Collaborations with biotech firms in genome editing or regenerative technologies could also catalyse future growth.


Adopt a Customer-Centric Innovation Approach
Challenge MedTech development has traditionally been product-centric, often failing to meet the nuanced needs of healthcare providers and patients.
Strategy Embed user experience (UX) research and human-centred design principles into product development to ensure products are patient- and clinician-friendly. This approach increases adoption rates, as products designed with customer insights tend to address pain points.
Example Boston Scientific exemplifies this shift by applying UX design to enhance patient comfort and clinician ease of use. Transitioning to customer-centric models can help companies pivot from product-driven to problem-solving approaches.


Embrace Digital Transformation and Data-Driven Healthcare
Challenge Many MedTech firms lag in adopting digital technologies, risking challenges as healthcare digitalises.
Strategy Develop a digital-first mindset across the organisation. This transformation is essential as leaders often lack digital experience, posing a barrier. Leverage insights from digital natives and integrate digital health solutions like AI, Internet of Things (IoT), and data analytics to deliver value beyond single-device sales. Creating data-driven insights can open service-oriented revenue streams and deepen relationships with healthcare providers.
Example Zimmer Biomet’s ZBEdge suite combines devices, robotics, and digital tools to offer a comprehensive solution in orthopaedics, exemplifying how digital integration can redefine care models and revenue approaches.


Shift to Disciplined Strategic M&A
Challenge MedTech companies have leaned heavily on M&A for growth, but this has often led to inefficiencies and diluted focus. Poor integration and cultural misalignment have created silos, compliance risks, and stifled innovation.
Strategy Adopt disciplined M&A targeting long-term goals, such as filling product pipeline gaps or entering high-growth markets. Plan integrations with clear success metrics and cultural alignment, while focusing on acquisitions that enhance core strengths and agility. Investments in digital health, AI-driven diagnostics, and precision medicine can drive sustainable growth.
Example Stryker’s acquisition of MAKO Surgical exemplifies strategic M&A. By integrating robotics into its orthopaedics portfolio, Stryker enhanced innovation and reshaped its market positioning, demonstrating the transformative potential of a well-planned acquisition.


Foster a Culture of Innovation and Risk-Taking
Challenge Traditional MedTech cultures are often bureaucratic and risk-averse, stifling creativity and limiting innovation potential.
Strategy Transform company culture to encourage cross-functional collaboration, calculated risk-taking, and intraprenerial thinking. Leaders should eliminate bureaucratic hurdles, reward risk-takers, and foster a collaborative environment. Initiatives like internal pitch days or innovation hubs can stimulate new ideas.
Example Johnson & Johnson’s JLABS, a network of incubators, provides start-ups with mentorship and resources, fostering a culture of innovation that could be mirrored in larger organisations to inspire bold thinking.


Invest in Partnerships and Ecosystems
Challenge Innovation in MedTech often requires expertise beyond in-house capabilities, and few companies maximise external collaborations.
Strategy Develop global partnerships that provide access to cutting-edge research, new technologies, and emerging markets. Collaborations with academic institutions, start-ups, and tech companies can bridge skills gaps and facilitate access to advanced tools and knowledge.
Example Philips’ partnership with Salesforce enhances data integration for improved patient management, while GE HealthCare's collaboration with Microsoft advances AI in diagnostics, illustrating how alliances with tech firms can enhance digital capabilities and drive innovation.


Explore New Business Models Aligned with Value-Based Healthcare
Challenge As healthcare shifts to outcomes-based models, traditional device sales may no longer suffice.
Strategy Shift from a product-centric to a service-oriented model, considering subscription-based or “pay-per-outcome” approaches. Providing a device as part of a package with data analytics, predictive maintenance, or AI insights can create ongoing revenue streams and align with healthcare’s emphasis on outcomes.
Example Zimmer Biomet’s ZBEdge is not only a device but a comprehensive solution, offering surgeons real-time feedback and analytics, showcasing a shift from device sales to value-oriented services.


Overcome Regulatory Challenges Through Innovation
Challenge MedTech’s complex regulatory landscape can stifle bold innovation if firms focus only on incremental updates.
Strategy Forge early partnerships with regulatory bodies, aligning product development with regulatory goals for smoother approvals. Engaging with regulators early can also shape policies on emerging technologies, helping firms navigate new frameworks for AI, digital diagnostics, and bioengineering.
Example Illumina’s proactive engagement with regulators positioned the company as a leader in genomics by helping to shape regulatory standards, setting the stage for industry-wide acceptance of its cutting-edge tools.


Empower the Next Generation of Leaders
Challenge Today’s senior leadership often consists of experienced executives in their mid-50s who may not have fully embraced digital transformation. Many are digital migrants (people raised before the digital age), more comfortable with established processes and legacy offerings than the emerging tech-driven landscape. As they approach the final years of their careers, there is a natural tendency to focus on maintaining the status quo rather than pivoting to disruptive innovations.
Strategy To secure a sustainable future, it is essential to actively build a leadership pipeline that values digital acumen, agility, and forward-looking expertise. Begin by identifying and promoting emerging leaders who excel in these areas, fostering a culture that prioritises continuous learning, adaptability, and digital fluency. Creating a structured, ongoing knowledge-sharing platform will encourage seasoned executives to mentor younger leaders, while simultaneously opening avenues for them to learn from digitally fluent peers. Additionally, drive data-driven decision-making across all levels of leadership, ensuring that strategies reflect the fast-paced evolution of MedTech and adjacent industries.
Actionable Steps
  • Promote Cross-Generational Learning Pair senior leaders with high-potential younger talent in mentorship programmes that encourage reciprocal knowledge exchange.
  • Implement Digital Skills Development Programmes Provide tailored training for senior executives to boost comfort and proficiency with digital tools and data analytics, positioning them to lead more confidently in a tech-forward environment.
  • Build Agility into Decision-Making Processes Shift from rigid hierarchies to a more flexible, data-driven approach. Encourage leaders to adopt an iterative, evidence-based style that aligns with rapid industry changes.
  • Invest in Leadership with Expertise in Emerging Fields Actively recruit and cultivate future leaders skilled in biotech, digital health, and AI to ensure readiness for MedTech’s inevitable transformation.
Example By strategically investing in future leaders with strengths in digital health and biotech, companies can secure a foothold in next-generation markets. Not only will this keep organisations ahead of industry trends, but it will also empower them to lead MedTech’s transformation, ensuring long-term viability and growth.
 
Takeaways

To effectively revitalise traditional MedTech companies, leaders must embrace a transformative, growth-oriented approach that departs from conventional practices. This transformation requires prioritising breakthrough innovations, expanding product portfolios, and establishing a customer-centric mindset. Digital transformation must be at the core, enabling greater efficiency and faster responses to market demands. Additionally, effective knowledge management and a culture of continuous improvement are essential to harness and optimise strategic assets, ensuring that valuable insights and expertise are not lost but actively leveraged for competitive advantage.

The goal is not just to keep pace with the industry but to redifine its trajectory and lead the way in  shaping the future of healthcare. By proactively implementing the recommended strategies, MedTech firms can secure a stronger financial foundation, drive meaningful advancements in patient care, and maintain a competitive edge in an ever-evolving landscape. Bold decisive action is critical, as it lays the groundwork for enduring success, resilience, and recognition as an industry leader. By following the outlined roadmap, companies can position themselves as key contributors to the healthcare sector’s transformation, ensuring improved patient outcomes and reinforcing their relevance in a rapidly changing world.
view in full page
  • Today’s workforce and consumers expect corporations to stay responsive and forward-thinking, echoing voter sentiment in the 2024 US Presidential Election
  • The Election outcome highlights the risks for healthcare and MedTech firms that remain attached to outdated practices in fast-changing markets
  • Traditional executives may lack the digital fluency needed to keep pace with technological and market advancements
  • By embracing varied perspectives and future-oriented strategies, corporations can better align with evolving employee and customer expectations
 
A Wake-Up Call for US Corporations in Fast-Changing Industries

Donald Trump's victory in the November 2024 US Presidential Election suggests lessons - not only for the political sphere but also for corporate leaders, particularly in fast-changing sectors like healthcare and MedTech. While a range of factors contributed to the former president's decisive win, this Commentary focuses on a few themes that stand out for their relevance to business: the weight of legacy issues, the disconnect between leaders and their broader constituencies, and the perils of overconfidence and resistance to change. By addressing core concerns like inflation, economic security, and future opportunities, Trump’s platform resonated with voter priorities, highlighting a gap between traditional leaders and the public. This shift underscores the risks faced by established institutions, both political and corporate, when they fail to respond to legitimate concerns and adapt to dynamic environments.

Much like the political elites, corporate leadership in healthcare and MedTech - especially within conservative firms - risks being disconnected from the shifts of their industry and workforce. In these sectors, rapid innovation and changing market demands are reshaping the landscape. Yet a significant proportion of large companies remain anchored to legacy products and structures, headed by leadership teams largely comprised of US-based senior executives many of whom are nearing retirement. These digital migrants, whose careers were well established before digitalisation, may lack fluency in the latest technological advancements and market shifts, risking a strategic blind spot that leaves them vulnerable to more agile and innovative competitors. Drawing a parallel between the political and corporate worlds, it seems reasonable to suggest that ignoring changing demographics, employee needs, and technological trends introduces risks for corporations just as it does for political entities.

 
In this Commentary

This Commentary highlights how Donald Trump's 2024 Presidential election win serves as a cautionary tale for corporate leaders, especially in fast-evolving sectors like healthcare and MedTech. By drawing parallels between political and corporate spheres, it emphasises the risks for established firms that are slow to adapt to rapid changes in technology, market demands, regulations, and workforce expectations. Through analysis of healthcare trends and leadership dynamics, it provides insights on fostering adaptability, inclusivity, and a forward-thinking culture to stay competitive.
 
Legacy Leadership and the Risks of Inertia in a Fast-Paced Industry

Healthcare and MedTech, more so than many other sectors, are undergoing rapid and transformative changes driven by advancements in biomedical science, artificial intelligence (AI), value-based healthcare, and shifts in care delivery models. New technologies such as AI, machine learning, telehealth, and remote monitoring are driving innovation, as are changing consumer preferences and a growing emphasis on preventive care and patient-centred models. For traditional firms, adapting to these trends is challenging, and demands a readiness to embrace both internal and external changes swiftly and effectively.

Many large MedTech corporations are led by well-established leadership teams composed primarily of American males many of whom have established careers in a more predictable, slower-paced environment. These leaders, often digital immigrants, may lack the skills and cultural agility needed to navigate today’s digital-first landscape. In an industry where start-ups and smaller, more agile companies are increasingly setting the pace, being overly reliant on legacy products and markets and slow to innovate can create significant vulnerabilities.

Just as US voters in November 2024 demonstrated a desire for change by voting for populist policies, there is a growing segment within healthcare and MedTech firms - ranging from early-career employees to mid-level managers - who may feel left behind by leadership that appears out of touch. Such employees may feel that their aspirations, frustrations, and innovative ideas are overlooked, resulting in disillusionment that ultimately stifles creativity and limits the company’s ability to innovate.
 
Misalignment with Market Realities and Employee Expectations

Much like the dissonance between voter priorities and political platforms that played a role in the 2024 American Presidential election, traditional healthcare leaders face the risk of alienating their workforce by not aligning with their evolving expectations. Today’s employees seek flexibility, inclusivity, and growth opportunities, yet many corporate hierarchies remain anchored to legacy mindsets, appearing resistant to the innovation employees value. Amidst inflation, economic pressures, and a rapidly changing healthcare landscape, there is an expectation for companies to prioritise meaningful, sustainable changes over unwavering adherence to past practices.

Such a disconnect can lead to disengagement among skilled and innovative team members who feel side-lined in decision-making processes. In an era where top talent is essential to maintain competitive advantage, traditional corporations must cultivate an inclusive, agile, and future-oriented culture. Failing to address these demands risks losing valuable talent and diminishing the company’s ability to remain competitive.

 
Strategic Blind Spots: The Cost of Ignoring Innovation

Another parallel between the political and corporate spheres lies in the risk of overconfidence in legacy strategies. Just as political analysts underestimated the former President's appeal by relying on inadequate polling methodologies, traditional healthcare companies often misjudge market shifts by relying on legacy product lines and ignoring emerging trends. Such overconfidence in established offerings and processes can be costly in healthcare, where technology-driven innovation has opened new avenues for preventive care, personalised medicine, and outpatient services.

Firms that fail to recognise these shifts risk being blindsided by competitors who are more attuned to the demands of modern consumers. Smaller, more innovative firms are seizing opportunities in areas such as digital health, telemedicine, and wearable technology - offering patients and providers new ways to manage health conditions. These firms are not bound by legacy structures or outdated decision-making processes, allowing them to respond quickly to emerging trends and customer needs.

The trend toward outpatient services and home healthcare is especially significant. As healthcare delivery moves increasingly out of hospitals and into homes and community centres, traditional healthcare companies must rethink their approach to service delivery. A company that remains fixated on hospital-based care or physical products while ignoring digital health services or home-based solutions risks missing the next wave of healthcare innovation.

 
Embracing Change to Bridge the Divide

Trump’s 2024 victory draws attention to the risks of remaining wedded to the past. In his campaign, he demonstrated an ability to connect with voters by focusing on practical solutions to their everyday concerns. Healthcare corporations should consider adopting a similar approach by investing in solutions and services that address the needs of patients and employees. This could involve not only expanding product lines to include digital health tools and preventive care but also restructuring the organisation to make it more agile and responsive.

For corporate leaders, the takeaway is clear: organisations must prioritise responsiveness and agility over rigid adherence to traditional methods. Just as Trump’s victory revealed the risks of political elites being out of touch with public sentiment, corporate leaders risk alienating their workforce and missing growth opportunities by ignoring employee concerns and market trends.

 
Building a Culture of Inclusivity and Innovation
 
In a dynamic healthcare and MedTech landscape, companies need more than just technical expertise and financial acumen to stay competitive; they must foster a culture that values inclusivity, adaptability, and continuous learning. Just as well funded political institutions can lose touch with the needs and concerns of their constituents, corporate leaders risk disconnecting from the aspirations and behaviours of their employees and patients. By aligning more closely with different voices across the organisation - particularly younger, diverse employees and those with digital expertise - companies can tap into a broader spectrum of ideas, unlocking innovation that reinforces their market position.

To achieve this alignment, leaders should actively seek input from employees at all levels, appreciating that crucial insights often emerge from minority voices. This inclusive strategy not only drives engagement and fosters a culture of innovation but also positions the organisation to respond more effectively to both employee and patient needs.
 
The Path Forward: Adaptation as a Core Strategy

The lessons from the American 2024 Election suggest that political and corporate leaders alike must adapt to rapidly changing demographics and expectations. For healthcare and MedTech firms, this means developing strategies that are not only grounded in today’s market realities but also flexible enough to evolve as those realities change.

Adaptation in the healthcare sector could involve investment in new technologies, partnerships with innovative start-ups, and a willingness to experiment with new business models. Companies that can pivot to meet new demands - whether through expanding digital health capabilities, embracing remote monitoring, or exploring personalised medicine - will be better positioned to succeed in a rapidly changing market.

 
Takeaways

The 2024 US Presidential Election results suggest a lesson for corporate leaders: in a fast-paced world, adaptability and responsiveness are key to staying relevant. Just as political leaders risk losing public trust by holding onto past ideas, corporations that resist change undermine their competitive edge and risk alienating both employees and customers. For healthcare and MedTech companies especially, the path forward requires a commitment to innovation, inclusivity, and real-world impact, ensuring resilience in an era defined by continuous transformation.

The stakes are clear: just as political leaders risk losing public confidence by holding onto outdated platforms, companies that cling to legacy practices risk losing valuable talent and market share. Ultimately, the parallel between politics and business underlines a truth: in a world of change, the only sustainable strategy is a commitment to evolution.
view in full page
  • Ignoring lessons from failures and minority perspectives can result in misguided product development and investments
  • Leaders who only focus on success stories risk survival bias, leading to flawed strategies and poor decisions
  • Learning from failed ventures and former employees can offer insights to avoid common mistakes and ensure long-term success
  • To counter survival bias, companies need to diversify investments, stress-test assumptions, and embrace diverse viewpoints

The Dangers of Survival Bias in Business Strategy: A Conceptual Examination
 
In the competitive world of business, particularly in high-stakes industries like MedTech, leaders often focus on past successes and majority opinions when making strategic decisions. While this might seem logical, it can lead to a phenomenon known as survival bias, which occurs when decision-makers give undue weight to success stories and overlook critical lessons from failures. In a field where both innovation and patient outcomes are at stake, survival bias can be dangerous, fostering a false sense of security that can lead to misaligned strategies in evolving markets.

MedTech companies, for instance, might look to industry giants like Medtronic or Zimmer Biomet as models for success. However, emulating these successes without considering the failures of others can leave companies vulnerable to risks and challenges they have not anticipated. Survival bias blinds leaders to the realities of market misalignments, regulatory hurdles, and poor timing, all of which are important factors of success. By acknowledging both success and failure, executives can create more resilient strategies, which are better equipped to navigate the complexities of the MedTech landscape.

 
In this Commentary

This Commentary explores the risks that survival bias presents to MedTech companies. We examine how an overemphasis on past victories and prevailing opinions can lead to complacency, misguided investments, and missed opportunities for innovation. Importantly, we discuss strategies to mitigate these risks, including broadening decision-making frameworks to embrace the lessons of failure, fostering diverse perspectives, and testing assumptions.
 
The Concept of Survival Bias

During World War II, the Allied forces attempted to improve the survivability of planes returning from bombing missions over Germany. Military engineers began by examining the returning aircraft, documenting where they had been hit and survived. The initial plan was to reinforce the most damaged areas. However, Abraham Wald, a mathematician with Columbia University’s Statistical Research Group, offered a different perspective. Wald observed that the returning planes represented only those that had survived; thus, the damage visible on these aircraft did not provide a complete picture. He reasoned that planes hit in the areas with the least visible damage were likely the ones that had been shot down. His recommendation was to reinforce the undamaged areas to protect against the hits that proved fatal.

This insight is crucial for businesses where focusing only on successes can lead to blind spots. Leaders must be mindful of the lessons from companies and product offerings that failed, as these setbacks often hold the key to understanding the full dynamics of the industry. Ignoring such insights exposes companies to the risk of repeating past mistakes and missing emerging threats.

 
Survival Bias in MedTech Leadership

MedTech leadership often falls into the trap of survival bias, where executives prioritise majority opinions and past successes, side-lining minority viewpoints that could spark innovation. By focusing on replicating legacy product strategies, they risk overlooking the complex market and regulatory factors that initially contributed to those successes.

For example, the triumph of products like Medtronic’s pacemakers and Zimmer Biomet’s orthopaedic implants was not solely due to technical superiority. These companies also navigated intricate regulatory landscapes and evolving patient needs. Relying on outdated strategies without considering current market dynamics can lead to costly misjudgements. The healthcare field, particularly in MedTech, has seen significant shifts in regulation, technology, and patient expectations. Implantable devices that thrived two decades ago may now struggle against advances in minimally invasive procedures or stricter regulations.

Companies that remain tethered to legacy models risk developing products misaligned with today’s needs. Survival bias can also distort investment strategies, causing firms to over-invest in "proven" models while ignoring innovative approaches that could shape the future. This narrow focus may blind companies to transformative opportunities in an ever-changing market.

To avoid these pitfalls, MedTech leaders must be open to diverse perspectives and dissenting opinions. This broader outlook enables firms to better understand risks, seize new opportunities, and stay aligned with evolving market demands. Only by embracing continuous learning and adaptation can companies position themselves for long-term success in a highly regulated and competitive industry.

Learn to Learn from Failure

The key to avoiding survival bias is to recognise that setbacks can offer as much, if not more, insight than success. By studying ventures that failed, companies can gain a deeper understanding of the market dynamics and potential pitfalls they face. For example, ConforMIS’s attempts to transform knee implants through customisation highlight how promising innovations can struggle when faced with regulatory hurdles or scaling issues. Similarly, Theranos’s infamous collapse underscores the dangers of ignoring operational realities while focusing solely on innovation.

Learning from these missteps helps companies avoid repeating similar errors and better anticipate future challenges. This proactive approach not only prevents costly mistakes but also fosters a more comprehensive understanding of the industry.

 
Overcoming Survival Bias: Best Practices

To reduce survival bias and build more resilient strategies, leaders can adopt several best practices:
 
1. Encourage Diverse Perspectives
As Henry Ford once remarked, following majority opinion would have led to faster horses, not cars. True innovation comes from challenging conventional thinking. MedTech enterprises should actively foster a culture that embraces diverse viewpoints and dissenting opinions. Encouraging open debate can reveal blind spots and inspire breakthroughs, while ignoring minority perspectives can lead to poor decision-making and reduced competitiveness. By seeking external feedback from industry outsiders, regulators, healthcare providers, and even competitors, corporations can develop more adaptive strategies that promote long-term growth.

2. Learn from Non-Survivors
Engaging with former employees and examining past failures can provide valuable insights into ingrained behaviours and outdated practices that may be hindering success. Leaders should take the time to confront uncomfortable truths by investigating the reasons behind failed ventures. This approach offers a more realistic view of both internal and external challenges and helps companies identify potential risks before they escalate.

3. Broaden the Dataset
Expanding the scope of analysis to include failures helps companies avoid repeating costly mistakes. In MedTech, studying regulatory setbacks, technical challenges, and market misalignments can guide the development of stronger strategies. A balanced perspective that considers both successes and failures enable companies to navigate the complexities of the healthcare landscape more effectively.

4. Stress-Test Assumptions
Success can breed complacency, leaving companies vulnerable to disruption in fast-evolving sectors like healthcare. To stay ahead, organisations should stress-test their assumptions by running scenario-based simulations that consider various market, technological, and regulatory conditions. This process helps leaders anticipate the impact of factors like new regulations or shifts in patient preferences, allowing for greater agility and resilience in unpredictable environments.

5. Diversify Investments
Focusing too narrowly on a few products or strategies increases risk, particularly in industries prone to rapid change. To minimise this vulnerability, enterprises should diversify their investments across a range of products, technologies, and emerging trends. This approach reduces the impact of underperforming projects or sudden market disruptions, while fostering innovation and exploration of new growth areas.
 
Takeaways

Survival bias skews decision-making by focusing too heavily on successes while overlooking the lessons from failure. In the MedTech industry, where success hinges on a balance of innovation, market dynamics, and regulatory hurdles, this bias can lead to complacency and stagnation. Abraham Wald's seminal work during World War II, where he demonstrated the importance of analysing what was missing - in that case, the planes that did not return - offers a significant reminder. Just as Wald suggested examining overlooked data to improve decision-making, MedTech leaders should not solely celebrate past triumphs but also critically examine failures to avoid blind spots.

By actively seeking out and integrating diverse perspectives, MedTech leaders can foster a more innovative and resilient corporate culture. Stress-testing assumptions, broadening datasets to include failures, and diversifying investments are key strategies for overcoming survival bias. In doing so, companies can develop adaptive strategies that position them for long-term success in a rapidly changing healthcare landscape.
view in full page
  • Navigating the dynamic MedTech landscape demands agility, adaptability, and the ability to manage regulatory shifts, global crises, and rapid technological advancements
  • Leaders must blend forward-thinking with strategic focus, ensuring R&D efforts align with emerging healthcare trends and patient needs
  • Inspiring cross-functional collaboration is important and requires cultivating a culture rooted in accountability, innovation, and ethical responsibility
  • MedTech executives must drive innovation while maintaining rigorous regulatory compliance to protect patient safety and uphold corporate integrity
 
Shaping the Future: MedTech Leadership in a Fast-Changing World

Leading a well-established MedTech company requires a blend of vision, technical expertise, regulatory understanding, agility, and emotional intelligence. While financial acumen is fundamental, what sets exceptional executives apart is their ability to navigate the complexities of healthcare, champion innovation, and maintain a strong ethical foundation. These individuals are not just driving their companies toward commercial success; they are actively shaping the future of healthcare by delivering innovative products that enhance patient outcomes and push the boundaries of medical science.

Cultivating these qualities helps ensure that organisations stay competitive, compliant, and focused on creating real value for patients and healthcare systems. As companies navigate an era defined by rapid technological advancements, shifting regulations, and evolving patient expectations, the ability to lead with integrity and strategic foresight becomes ever more critical. With the right mindset, MedTech executives can not only thrive in this fast-paced environment but also leave a lasting impact on the industry and the future of healthcare.

 
In this Commentary

This Commentary highlights seven key leadership capabilities essential for success in large MedTech companies. With rapid technological advancements, shifting regulations, and increasing demands for better patient outcomes, leaders must balance innovation with regulatory compliance. We emphasise the need for visionary thinking, strategic focus, regulatory expertise, technical knowledge, and emotional intelligence. By cultivating collaboration, adaptability, and ethical responsibility, leaders can steer organisations through disruption, navigate global markets, and drive impactful medical technologies that improve patient outcomes and ensure corporate success.
 
1. Visionary Thinking with a Strategic Focus
 
An effective MedTech executive thrives by combining visionary thinking with strategic execution. Looking beyond the present landscape can open opportunities to anticipate advancements in medical technologies, shifts in healthcare delivery models, and evolving expectations from patients and providers. In a sector driven by innovation, those who can envision the future of healthcare and identify how their companies can contribute meaningfully are well-positioned for success.

Yet, vision alone will not get the job done. Translating ambitious ideas into actionable strategies is essential. This involves setting clear corporate goals, allocating resources wisely, and building the infrastructure to support both immediate operational success and long-term innovation. Balancing growth ambitions with a disciplined approach to risk management and regulatory compliance is especially important in the highly regulated MedTech industry.

Effective portfolio management also plays a role. With a diverse range of products - from medical devices to diagnostic tools - focusing on research and development (R&D) projects that align with both the company’s strengths and emerging healthcare needs is crucial. An understanding of the science behind MedTech and the market forces shaping the industry can positively influence where to invest for future success.
 
2. Mastery of Regulatory and Compliance Issues

Navigating regulatory frameworks presents a challenge in the MedTech industry. With agencies like the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA) imposing rigorous requirements for product approval, quality control, and post-market surveillance, understanding these environments is essential. The ability to anticipate policy changes and ensure ongoing compliance can impact a company's success.

Beyond market entry, regulatory mastery helps protect a company's reputation. Ensuring that all departments - particularly R&D, manufacturing, and quality assurance - adhere to strict standards is crucial for safeguarding patient safety and product efficacy. Non-compliance risks fines, product recalls, and reputational damage making a strong grasp of regulatory issues indispensable.
In a global market, navigating international regulations adds another layer of complexity. For instance, the European Medical Device Directive (MDD) requires different compliance measures than those of the FDA in the US. Forward-thinking approach involves preparing teams to meet diverse regulatory demands and working closely with legal, regulatory affairs, and quality management professionals to foster a culture of proactive compliance.
You might also like:
 
3. Technical Savvy and a Commitment to Innovation
 
Innovation is the lifeblood of the MedTech sector. Executives at the helm of large companies benefit from a strong grasp of the technologies driving their products, as well as staying attuned to advancements in medical science and digital health. Staying informed about cutting-edge developments like artificial intelligence (AI), machine learning, robotics, and 3D printing is essential, as these innovations are shaping the future of medical devices and diagnostics.

Encouraging a culture of innovation means fostering an environment where teams can experiment, collaborate across disciplines, and take calculated risks. This atmosphere of exploration allows R&D teams to push boundaries and iterate quickly. Success in this space often involves investing in talent, infrastructure, and strategic partnerships. Collaborating with academic institutions, start-ups, technology companies, or healthcare providers can spark the development of breakthrough technologies and expand a company’s capabilities.

Balancing innovation with regulatory demands is equally important. With MedTech products directly impacting patient health, ensuring that innovations undergo thorough testing and validation is critical. Striking the right balance between speed and safety ensures that new technologies are brought to market efficiently without compromising patient wellbeing.
 
4. Customer-Centricity and Patient Outcomes Focus
 
In today's healthcare ecosystem, MedTech companies are increasingly accountable for the outcomes their products deliver, not just for the products themselves. A strong focus on customer-centricity - whether the customer is a healthcare provider, patient, or payer - has become essential. Shifting priorities toward products and services that improve patient outcomes requires an understanding of end-users, from surgeons operating complex devices to patients managing chronic conditions at home.

Developing solutions that provide real-world benefits involves actively engaging healthcare professionals and patients throughout the product lifecycle, from concept through post-market evaluation. This approach ensures that offerings are not only innovative but also address genuine needs in the clinical setting.

As value-based healthcare models gain traction, with reimbursement increasingly tied to patient outcomes, demonstrating both clinical and economic value is critical. This means providing robust clinical evidence while collaborating with healthcare providers, payers, and policymakers to showcase how MedTech solutions improve patient care and reduce overall healthcare costs.
 
5. Agility in Decision-Making and Crisis Management
 
The MedTech industry is characterised by constant change, driven by rapid technological advancements, evolving regulatory requirements, and unexpected challenges like global health crises. Navigating these complexities demands agility in decision-making, allowing organisations to pivot quickly and remain resilient during periods of uncertainty.

This agility comes from a blend of strategic foresight and operational flexibility. Staying ahead of emerging trends and risks, making informed decisions in real time, and adjusting plans as circumstances evolve are all important. For instance, during the COVID-19 pandemic, many MedTechs shifted their focus to produce essential supplies like ventilators and personal protective equipment  (PPE). This involved reallocating resources, adapting supply chains, and safeguarding the workforce - all while ensuring regulatory compliance.
You might also like:

Reimagining Boards
Effective crisis management also plays a role. Whether facing product recalls, quality issues, regulatory challenges, or broader industry disruptions, the ability to respond swiftly is essential. Clear communication, decisive action, and maintaining the trust of key stakeholders - including employees, healthcare providers, patients, and investors - are crucial in navigating crises successfully.
6. Emotional Intelligence

In the MedTech industry, effective leadership goes beyond strategic decision-making and technical expertise - it also requires emotional intelligence and an ability to lead teams. Inspiring and motivating teams is key to fostering a culture of collaboration, innovation, and accountability, especially in a field where success depends on cooperation between engineers, scientists, regulatory experts, and business professionals.

Emotional intelligence plays a role in this dynamic, enabling self-awareness, empathy, and the ability to manage emotions both personally and within teams. Those who exhibit strong emotional intelligence can build stronger relationships, navigate conflicts with ease, and cultivate a positive organisational culture. This also enhances their ability to communicate vision and goals effectively, uniting teams around a shared purpose.

In larger MedTech companies, managing diverse and geographically dispersed teams requires exceptional communication skills and the capacity to foster cohesion and shared responsibility. Encouraging diversity, equity, and inclusion is also critical, as varied perspectives contribute to stronger problem-solving and drive innovation forward.
 
7. Ethical Integrity and Corporate Responsibility

Given the direct impact MedTech products have on patient health, ethical integrity is essential. Ensuring that corporations uphold the highest ethical standards across all operations - from R&D to marketing - is crucial. This means maintaining transparency in clinical trials, avoiding conflicts of interest, and committing to honest and transparent marketing practices that present both the benefits and risks of products accurately.

Beyond ethics, corporate responsibility also involves sustainability and social impact. MedTech companies must acknowledge their broader role in society, not only in improving health outcomes but also in reducing their environmental footprint and contributing to social good. Manufacturing processes should be assessed for their environmental impact, with efforts made to minimise carbon emissions. Additionally, engaging in corporate social responsibility (CSR) initiatives that promote healthcare access in underserved communities is essential for fostering global health equity.

Maintaining the trust of stakeholders - whether healthcare providers, patients, regulators, or investors - depends on a commitment to ethical practices. In an industry where safety and efficacy are non-negotiable, safeguarding trust is vital for protecting both a company’s reputation and its long-term success.

 
Takeaways

In today's MedTech landscape, financial acumen is no longer a differentiator; it is a baseline requirement. What truly sets leaders apart is their ability to navigate an era defined by rapid technological change and global complexity. The future of MedTech leadership hinges on understanding, embracing, and leveraging new technologies to drive meaningful innovation while maintaining the highest standards of regulatory compliance and patient safety.

The seven leadership traits outlined in this Commentary - visionary thinking, regulatory mastery, technical savvy, customer-centricity, agility, emotional intelligence, and ethical integrity - are more critical than ever. These qualities empower leaders to steer their organisations through disruption, inspire cross-functional teams, and deliver cutting-edge solutions that meet market demands and improve patient outcomes.

In this new era, MedTech executives must go beyond the basics of finance and operations. They must be architects of the future, blending strategic foresight with a deep understanding of the technologies that are reshaping the industry. By fostering a culture of innovation, accountability, and ethical responsibility, these leaders will not only ensure corporate success but also make a lasting, transformative impact on global healthcare.
view in full page
  • Traditional MedTech companies face growth challenges as M&A slows, prompting a shift towards leveraging corporate culture for competitive advantage
  • Emphasising a strong corporate culture enhances employee engagement, compliance, agility, and aligns with strategic goals, fostering sustainable growth
  • Leaders should focus on training, communication, ethical behaviour, and strong leadership to create a proactive, quality-focused culture
  • Case studies highlight the importance of a clear vision, engaged leadership, collaboration, and continuous adaptation to drive innovation and success

Let’s Get Serious About Corporate Culture
 

Many established MedTech companies with legacy products in slow-growing markets face challenges in enhancing growth, adding value, and developing a competitive edge. Historically, their growth largely relied on mergers and acquisitions (M&A), which expanded their size but not necessarily their capabilities. As the industry matured, M&A activity slowed, especially in the medical device sector.

With a tightening market and changing business environment, enterprises are seeking alternative strategies for growth and competitiveness. Corporate culture is emerging as a determinant of organisational success, yet many leaders struggle to understand and implement effective cultural strategies.

M&A often prioritised financial gains over quality and operational excellence. Acquiring firms sometimes neglected the importance of seamless process integration, resulting in quality and regulatory issues downstream. Such challenges are typically addressed reactively rather than proactively, which often hinders the development of a corporate quality culture. To ensure sustainable growth and product integrity, it is important to emphasise comprehensive training, open communication, ethical behaviour, and strong leadership. These elements create an environment where compliance becomes an integral part of the company's fabric, fostering long-term success and resilience.

Corporate culture - shared values, beliefs, and practices - drives growth, and competitive advantage. For companies where innovation and market responsiveness are crucial, supporting a robust corporate culture can lead to increased compliance, greater agility, enhanced employee engagement, and stronger alignment with strategic objectives.

Some corporations face challenges rooted in entrenched practices and hierarchical structures, often encountering resistance to change, siloed departments, and a lack of a cohesive vision. Despite these obstacles, developing a corporate culture that promotes collaboration, innovation, and a shared sense of purpose is essential. Embracing cultural transformation can turn challenges into opportunities for differentiation and growth, allowing companies to achieve sustained success in an increasingly competitive and dynamic market.

 
In this Commentary

This Commentary examines the role of corporate culture in established MedTech companies, highlighting its significance in driving organisational success amidst rapid change and increasing competition. It analyses the impact of corporate culture on employee interactions, company dynamics, and strategic outcomes, emphasising its role in shaping decision-making and fostering employee engagement. It addresses the challenges faced by enterprises burdened bylegacy practices, advocating for a proactive approach to cultivating a culture supportive of collaboration, innovation, and purpose. Drawing from real-world examples, it distils actionable insights for companies, stressing the significance of a clear vision, strong leadership, and ongoing adaptation in nurturing a resilient corporate culture essential for sustained excellence in a dynamic marketplace.
 
Understanding Corporate Culture

Corporate culture is the collective set of values, beliefs, attitudes, and behaviours shared by members of an organisation. It encompasses vision, norms, systems, symbols, language, assumptions, and habits, defining how employees interact internally and with external stakeholders. Components of corporate culture include the company’s mission and vision, which provide direction and purpose; values that guide decision-making and behaviour; rituals and ceremonies that reinforce cultural messages; and communication styles that ensure consistent and effective information flow. Additionally, leadership style, workplace environment, and reward systems play important roles in embedding and perpetuating the culture.

A strong, positive corporate culture aligns the workforce with enterprise goals, fostering belonging and purpose. It drives employee engagement, leading to higher productivity and innovation. For MedTech enterprises, a culture emphasising collaboration and continuous improvement can accelerate product development and enhance regulatory compliance. Additionally, a well-defined culture attracts top talent, strengthens customer relationships, and builds a resilient brand. Corporate culture is a strategic asset that differentiates a company, driving long-term success and sustainability.

 
Assessing the Current State of Corporate Culture

A culture audit is important to assess the existing cultural landscape. This involves evaluating the alignment between the company's stated values and the actual behaviours and attitudes of its employees. It includes gathering qualitative and quantitative data through surveys, interviews, and observation to identify prevailing norms, beliefs, and practices.

 

Conducting such an audit allows enterprises to pinpoint both strengths and weaknesses within their corporate culture. Identifying strengths, such as high employee engagement or a strong commitment to innovation, highlights areas to reinforce and leverage. Conversely, recognising weaknesses, like departmental silos or pockets of resistance to change, provides insights for improvement.
You might also like:
 
By assessing these cultural attributes, enterprises can develop targeted strategies to address gaps and build on strengths. Such an approach ensures that corporate culture evolves to support strategic goals, enhance operational efficiency, and advance a positive work environment. A well-executed audit is essential to transform corporate culture into a strategic driver of growth and success.
 
Aligning Corporate Culture with Strategic Objectives

The first step is to establish a clear vision and values that resonate throughout the organisation. The vision articulates the company's aspirations, while values provide guiding principles for decision-making. Consistent communication and integration of these elements into every aspect of the enterprise helps to ensure a unified direction.

Integrating culture into strategic planning means embedding it into core initiatives and operational plans, not treating it separately. Cultural initiatives should be woven into strategic goals, from improving quality and processes to ensuring regulatory compliance. For example, a company that prioritises excellence in quality should incorporate rigorous standards and continuous improvement practices into its strategic plan. Aligning corporate culture with strategic objectives supports a motivated workforce fully engaged in the company’s mission. This ensures cultural strengths drive performance, enhance employee satisfaction, and deliver superior outcomes.

 
Driving Growth through Corporate Culture

Fostering a culture of innovation and agility empowers organisations to swiftly adapt to technological advancements and market shifts. By nurturing an environment that values creativity, companies can support R&D, encourage cross-functional collaboration, and celebrate innovative ideas.

Agility requires a flexible organisational structure, empowering employees to make decisions, streamline processes, and maintain open communication for rapid information flow. Encouraging calculated risk-taking and learning from failures is also important. Employees should feel free to experiment without fear of punitive repercussions, with leaders demonstrating tolerance of failure and framing mistakes as learning opportunities.

 
Enhancing Value through Employee Engagement

To develop a motivated and committed workforce, it is essential to instil a sense of purpose and belonging among employees. When individuals understand their contributions align with the enterprise's mission they feel valued, and their engagement levels rise. Achieving this can be facilitated through recognition programmes, professional development opportunities, and a supportive work environment emphasising work-life balance.

Effective communication and collaboration practices are also important. Transparent communication keeps employees informed about company goals and progress. Regular town hall meetings, newsletters, and an open-door policy facilitate this. Encouraging cross-functional collaboration breaks down silos and promotes teamwork. Collaborative tools, cross-functional projects, and team-building activities are essential.

When employees are engaged and feel a part of a cohesive, communicative, and collaborative culture, their productivity and satisfaction increase. This not only enhances individual performance but also drives the overall success and value of the organisation. Engaged employees are more likely to contribute to innovation, improve customer relationships, and support sustainable growth.

 
Bolstering Competitive Advantage with a Strong Culture

Creating a unique culture starts with identifying and emphasising values and practices that align with the organisation’s mission and vision. Such an identity should resonate with both employees and stakeholders, encouraging an environment that prioritises innovation, customer-centricity, or cutting-edge technology. As a result, it attracts top talent and drives loyalty.

Leveraging culture for brand building and market positioning further enhances competitive advantage. A strong corporate culture becomes a key element of the enterprise’s brand, influencing market perception. For instance, a culture of continuous innovation can position a company as a leader in technological advancements, appealing to customers seeking the latest medical solutions. Consistently communicating cultural values through marketing and customer interactions reinforces this positioning.

A well-cultivated culture differentiates corporations from competitors, driving brand loyalty, attracting top-tier talent, and ensuring sustained market relevance and growth.

 
Corporate Culture and Regulatory Compliance

A positive and pervasive corporate culture can enhance a company's ability to maintain continuous FDA compliance. Firstly, a culture that prioritises quality and safety ensures all employees understand the importance of compliance, encouraging attention to detail and proactive issue resolution. Secondly, engaged employees in a positive culture exhibit a strong sense of accountability, diligently following protocols and contributing to continuous improvement. Comprehensive training programmes in such cultures keep employees well-versed in FDA regulations, minimising non-compliance risks. Open communication and transparency enable employees to report compliance concerns without fear, facilitating prompt corrective actions. Ethical decision-making, promoted by a positive culture, discourages cutting corners and aligns operations with regulatory standards. In such environments, strong leadership emphasises compliance as a core value, offering essential guidance and resources. A supportive culture also builds resilience and adaptability, important for navigating regulatory changes.
 
Steps to Develop an Effective Corporate Culture

Leadership commitment and role modelling are important first steps, as leaders must visibly demonstrate the desired cultural attributes in their actions and decisions. This sets a tone that cultural transformation is a priority.
You might also like:

A Third Way Growth Strategy for MedTechs
Training and development programmes are essential for embedding the new culture. These should educate employees about the core values, behaviours, and practices defining the culture. Regular workshops, seminars, and online modules can reinforce these concepts, ensuring employees understand and contribute to the cultural shift.
Recognition programmes that highlight and reward behaviours aligning with the desired culture reinforce positive actions and motivate employees. This can include awards, public recognition, or incentive projects tied to cultural goals.

By combining strong leadership, training, and a recognition system, companies can implement and sustain a culture that supports strategic objectives, drives innovation, and enhances overall performance.

 
Measuring and Sustaining Cultural Transformation

Key metrics for evaluating culture impact include employee engagement scores, turnover rates, and productivity levels. Utilising surveys and feedback mechanisms provides insights into employee sentiment and alignment with cultural values. By monitoring these indicators, organisations can celebrate the successes of their cultural initiatives, and identify opportunities for further enhancement, ensuring a thriving and cohesive workplace.

Continuous improvement and adaptation are essential for sustaining cultural transformation. This process involves regularly reviewing and refining cultural practices based on feedback and performance data. Leaders should remain flexible, adapting strategies to address emerging challenges and opportunities while maintaining accountabilty for their actions. It is unacceptable for senior managers to sidestep their responsibilities by delegating them to lower-ranking managers. Regularly revisiting the company’s vision and values ensures they remain relevant and inspiring, keeping the organisation aligned and motivated.

By systematically measuring cultural impact and committing to ongoing refinement, companies can ensure their culture remains a dynamic, integral part of their strategic success, driving long-term growth and resilience in a competitive market.

 
Case Studies and Best Practices

Medtronic revitalised its culture by emphasising patient-centricity and innovation. This focus engaged employees, improved morale, and bolstered productivity. Training programmes and leadership initiatives reinforced these values, resulting in a cohesive and motivated workforce. Boston Scientific transformed its culture by concentrating on agility and continuous improvement. Open communication and cross-functional collaboration broke down silos and accelerated innovation. Leadership played a role by modelling desired behaviours and creating a transparent, and inclusive environment. Key lessons from these transformations support our discourse and highlight the role of a clear vision and values, strong leadership commitment, and the integration of cultural initiatives into everyday practices. 
 
Takeaways

The emphasis on corporate culture within companies is not just a strategic choice but a necessity in today's fast-paced and competitive landscape. By encouraging a culture that aligns with their strategic objectives, corporations can enhance innovation, agility, and employee engagement: key factors for sustained growth and success. Addressing the challenges of entrenched practices and regulatory constraints through a well-defined, adaptable culture allows enterprises to navigate and leverage market changes effectively. A robust corporate culture is more than a set of values and practices; it is an asset that can drive differentiation, attract top talent, and build a resilient brand. As MedTechs continue to evolve, prioritising and nurturing a strong corporate culture will be pivotal in achieving long-term competitiveness and organisational excellence.
view in full page
  • Value creation in the MedTech industry has recently slowed
  • Companies face disruptions from a volatile macroeconomic environment, unpredictable supply chains, and rising geopolitical tensions
  • Traditional firms face challenges with mature products in slow-growing markets, compounded by predominantly older, mostly male, senior managers
  • Leaders must revamp their people strategies to support growth, enhance value, and boost competitiveness
  • Attracting, developing, and retaining Generation Z talent helps maintain a strong leadership pipeline and long-term agility

Is MedTech ready for Gen Z?

In the dynamic landscape of MedTech, innovation, digital expertise, adaptability, and a deep understanding of market trends are essential for success. The industry stands as a testament to US manufacturing prowess, characterised by rapid innovation and exacting development processes. However, traditional enterprises with established product portfolios in slow-growing markets, led predominantly by older managers, may be challenged to maintain and enhance their success in the coming decade. Integrating Generation Z (Gen Z) into the workforce presents a potential solution. As digital natives, Gen Z is adept at leveraging new technologies, values access to information, and prioritises sustainability, diversity, and inclusivity - traits they expect corporations to embody. Yet, attracting and retaining their talent requires traditional corporations to undergo cultural adaptations.

The current leadership demographic within large MedTechs is predominantly older males, with the average age of C-suite executives ~56 and a substantial proportion of managers >50. Despite women constituting ~50% of the workforce and making most household healthcare decisions, they occupy only ~23% of executive leadership roles in the largest medical device companies. This senior management composition underscores the experience and industry-specific knowledge deemed necessary for these positions, with many executives having >25 years in the field. However, the traditional approaches and possible resistance to change within this group can conflict with the aspirations of Gen Z employees, creating barriers to an inclusive and innovative work environment.

As the MedTech industry anticipates changes in the next five to ten years, integrating the younger generation into the workforce is essential for ensuring sustained growth, and enhanced value. Their adeptness with digital technology, novel viewpoints, and alignment with contemporary values are indispensable for fostering innovation and securing a leading position in the market. Effectively harmonising the seasoned expertise and stability of senior managers with the dynamism and digital fluency of Gen Z employees is critical for the future success of MedTech companies, despite the challenges it entails.

A March 2024 report from Newsweek revealed that ~40% of hiring managers exhibit an age bias against younger candidates. If such bias exists in the MedTech industry, it poses an obstacle to integrate Gen Z capabilities into the workforce. Additionally, seasoned managers may undervalue the skills and potential of younger employees, thereby limiting opportunities for them despite their competencies. Addressing these issues is necessary to create a diverse and inclusive workplace where talent is prioritised over age, ensuring the future success of traditional companies.

 
Technological Adaptability

Integrating Gen Z into MedTechs introduces a familiarity with modern technology. Growing up with the internet, smartphones, and social media has endowed this generation with digital fluency. Their adeptness in navigating and leveraging new social tools is indispensable for companies that depend on technological advancements.
In contrast, older managers, despite their experience, may not possess the same level of comfort and proficiency with emerging technologies. This generational technology gap can lead to slower adoption of innovative solutions and impede the company's progress. Recruiting younger employees helps enterprises adopt the latest technologies and integrate them into their operations.
You might also like:

Reimagining Boards
Innovation is the lifeblood of the MedTech industry. Gen Z, with their perspectives and forward-thinking mindset, can drive the development of new products and services. They are more inclined to think creatively, challenge established norms, foster cross-functional collaboration, and propose novel solutions to existing problems. This spirit of innovation can encourage corporations to develop new offerings that meet the evolving needs of healthcare providers and patients.

Understanding Market Trends

As older generations become a significant market segment, they will drive demand for age-related health solutions and services. Recognising their needs, preferences, behaviours, and expectations is essential for effective product development and marketing. This is why integrating Gen Z employees, who possess expertise in modern tools, social media, and innovative trends can help companies effectively connect with both older and younger consumers by offering new insights. Their perspectives complement the experience of seasoned managers, ensuring the company remains attuned to current market dynamics. Additionally, their expertise in digital marketing and understanding of online consumer behaviour can enhance an enterprise's market relevance through targeted campaigns and engaging digital platforms.

You might also like:

The Silent Obstacle to MedTech Growth and Value Creation

Corporate Culture

Corporate culture is pivotal in attracting and retaining talent. Gen Z values inclusive, diverse, and flexible workplaces that support continuous learning, offer growth opportunities, and foster a sense of belonging. In contrast, incumbent managers may not always prioritise these aspects, leading to a culture that fails to resonate with younger employees and complicates recruitment efforts. New team members are likely to drive initiatives that promote diversity and inclusion, advocate for flexible work arrangements, and champion continuous learning and development.
This cultural shift not only attracts talent but also enhances employee satisfaction and retention. A company whose corporate culture values and supports younger employees, offering them career advancement prospects, fosters their sense of loyalty and commitment. When provided with a supportive and engaging work environment, Gen Z is more likely to remain and contribute to the enterprise's long-term success. By investing in their professional development and recognising their contributions, corporations can retain top talent and build a strong workforce for the future.

Leadership Pipelines

Ensuring a robust leadership pipeline is crucial for the sustainability of MedTechs, especially as long-tenured managers retire. Gen Z, with their innovative ideas, are well-positioned to become the future leaders of the industry. Developing this pipeline requires intentional strategies and programmes. Companies must invest in leadership development initiatives that identify and nurture young talent, provide opportunities for career advancement and encourage cross-functional collaboration.

Effective transfer of expertise from older to younger employees is important for maintaining continuity and leveraging the experience of seasoned managers. This preserves valuable insights, helps to bridge the generation gap and fosters a culture of mutual respect and collaboration. It also contributes to a vibrant corporate culture that values diversity, continuous learning, and innovation, ultimately enhancing the company’s market position and long-term success.

 
Agility and Responsiveness

The MedTech industry is marked by rapid shifts and frequent disruptions, necessitating companies to maintain adaptability and quick responsiveness to stay ahead. Established managers often possess crisis management experience, but may exhibit less flexibility and slower response times. In contrast, Gen Z excels in dynamic environments, embraces innovation and drives swift reactions. They introduce urgency and a readiness to experiment with novel approaches, bolstering an enterprise’s capability to quickly adapt to emerging technologies, evolving market conditions, and new regulatory requirements.

This flexibility is crucial for long-term success in the industry. Gen Z’s perspectives can contribute to strategic decisions that drive growth and innovation. They are more likely to challenge traditional business models, explore new markets, and advocate for bold strategies that position the corporation for future success. Incorporating younger talent into decision-making processes can lead to more innovative and forward-thinking approaches. Their insights, together with the experience of seasoned managers, can help enterprises stay ahead of industry trends, capitalise on emerging opportunities, and maintain a leading position.

 
Risks of Not Integrating Younger Talent

An established management team may resist change, leading to a gradual decline in innovation. Such unintentional resistance can stifle the development of new products and technologies, ultimately causing a loss of market share. As market trends and consumer preferences evolve, companies must adapt to stay relevant. A long-standing management team may be challenged to keep pace with these changes, resulting in products and services that fail to resonate with the market, thereby reducing customer loyalty and revenue.

In the MedTech industry, continuous innovation and adaptation are crucial for maintaining a competitive edge. Without the input and influence of Gen Z, corporations risk falling behind more progressive competitors, jeopardising long-term growth and success. Integrating younger talent can help companies remain agile, forward-thinking, and in tune with the latest market demands.

 
Recruitment Challenges and Solutions

To effectively recruit and retain Gen Z, MedTech companies need to adapt their corporate cultures and managerial styles to align with the young workforce's expectations. Shifting from a top-down approach to one that values collaboration and inclusivity is crucial. Prioritising work-life balance is essential, as nearly half of Gen Z values it highly in their employment choices. Addressing mental health proactively and providing resources and support can appeal to and retain young talent.

Offering skill development and clear career progression pathways is vital, as a significant portion of Gen Z is willing to leave jobs that lack these opportunities. Managers should focus on understanding individual strengths and preferences, providing tailored coaching and assignments to enhance job satisfaction and performance. Building genuine connections through empathy and honest communication cultivates a supportive work environment and increases loyalty. Flexible work patterns, such as hybrid working, flexible hours, or compressed work weeks, accommodate diverse lifestyles, boosting satisfaction and productivity. 

To address generational divides, companies should implement coaching initiatives and encourage collaborative innovation. Bridging the gap between younger and older employees requires open dialogue, mutual respect, and a willingness to learn from each other's strengths. By developing an inclusive culture that values contributions from all employees, companies can create a cohesive and dynamic workplace, enhancing productivity, and employee satisfaction.

 
Takeaways

The MedTech industry faces a critical moment as value creation slows amidst market disruptions and a challenging macroeconomic landscape. Traditional companies, with mature product portfolios and established leadership, often struggle to maintain agility and adaptability. To navigate these challenges and ensure future growth, leaders should prioritise recruiting, developing, and retaining Gen Z employees. This generation brings crucial digital fluency, fresh perspectives, and a commitment to values like sustainability and inclusivity. Their integration into the workforce is critical for driving creativity and maintaining a competitive edge.

Addressing age biases is important to unlock the potential of Gen Z, fostering a dynamic corporate culture that values inclusion and continuous learning. Balancing the experience of seasoned managers with the digital proficiency of younger employees is key to creating a supportive environment that encourages creativity and adaptability. 

Will MedTech companies be ready to embrace Gen Z's capabilities and perspectives to enhance the industry's responsiveness to market trends and consumer needs? 
view in full page