Managing Complexity, Enabling Focus | OCIO’s Role in Healthcare Investment Programs

May 2026

Healthcare systems are navigating a challenging environment shaped by rising costs, operational pressures, and increasingly complex investment structures. At the same time, healthcare organizations are increasingly adopting outsourced chief investment officer (OCIO) services as they evaluate how best to manage multiple pools of capital while maintaining focus on their core mission.

Within Meketa’s OCIO practice, these dynamics are a regular point of discussion. Drawing on perspectives from across the firm’s OCIO team, the Endowment, Foundation and Non-Profit Committee, and Pension teams, Brian Dana, Laura Wirick, and Mary Mustard share how institutions are approaching this complexity and where flexibility can play a role in structuring investment programs.