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Healthcare innovation is advancing at an unprecedented pace, yet the ways health systems pay for it are evolving more slowly – and often unevenly. As a result, funding and financing have become an increasingly important strategic question for the healthcare industry. Many promising innovations fail to reach patients at scale not because the science is insufficient, but because the funding pathways required to sustain them are missing.
Financing the Future of Health draws on more than a decade of experience working across health systems, industry initiatives and global health partnerships to explore the evolving role of funding and financing in expanding access to healthcare innovations.
It connects governments, industry, investors and global health institutions in a clear and practical way, and offers a fresh, system-level perspective on how we deliver innovation in healthcare in the decades ahead.
Discover:
- Clear explanations of how funding and financing mechanisms influence access to healthcare innovation.
- Reflections drawn from real-world initiatives across multiple health systems and emerging markets.
- Cross-sector insights on what healthcare can learn from infrastructure, energy, and financial markets.
Fernando Arnaiz is a healthcare access and policy leader with nearly two decades of experience working at the intersection of health systems, financing and industry strategy. His work focuses on designing and implementing innovative approaches to expand sustainable access to healthcare, particularly in low- and middle-income countries.
Throughout his career, Fernando has collaborated with governments, insurers, global health organizations and private-sector partners to develop initiatives aimed at strengthening health systems and improving the financing of healthcare innovation. His experience spans health system financing, market access, health economics and public policy, with a particular focus on partnership models and funding mechanisms that support the adoption of medical innovation in diverse health system contexts.
Fernando has also contributed to thought leadership on healthcare financing, including publications on innovative funding models for non-communicable diseases. He serves on the board of Business for Health Solutions (BHS) and collaborates with Universitat Pompeu Fabra as a thesis coach in pharmacoeconomics.
He holds a degree in Business Administration from the University of Buenos Aires and dual Master’s degrees in Health Economics and Pharmacoeconomics and Public Administration and Government in Latin America from Universitat Pompeu Fabra
Pablo Morales is a global health financing and access leader with over a decade of experience working across the public and private sectors. His career spans roles in consulting, development finance and the pharmaceutical industry, with a consistent focus on tackling how healthcare systems can better deliver and finance innovation.
At Roche, he leads population health and financing strategies across oncology, Alzheimer’s disease and hemophilia. Prior to this, he worked with the Inter-American Development Bank on health system reform and held consulting roles advising organizations on financial strategy and system transformation. Across these roles he has designed and implemented innovative funding models, including performance-based financing, public-private partnerships and collaborations with development finance institutions such as the International Finance Corporation.
Table of contents
Introduction
Part I - Foundations: understanding the operating system
Chapter 1 - What is Healthcare Funding & Financing
Chapter 2 - The Evolution of Access & Policy Roles in the Private Sector and the Rise of Funding
Part II - The health financing landscape: how the system actually works
Chapter 3 - The Global Architecture of Health Financing
Chapter 4 - Innovative funding models
Chapter 5 - Decoding Healthcare Budgets: How Government Spending Shapes Market Access and Innovation
Chapter 6 - The Role of Private Sector Investors in Financing Healthcare
Part III - Reading the System and Designing Its Future
Chapter 7 - Who Decides What Gets Financed? The Political Economy of Healthcare Financing
Chapter 8 - Outside-In Perspectives: What Healthcare Can Learn from Other Sectors
Chapter 9 - From Financing to System Design: Building the Next Generation of Healthcare Financing
Closing Reflections: Financing as a Leadership Discipline