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Massively Better Healthcare

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In this groundbreaking book, Halle Tecco provides an insider’s guide to transforming our healthcare system through innovation.
  • 10 February 2026
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“Halle Tecco wanted to see tech used for better medical services and getting people engaged in their own health. Now, she’s written a book on how she went about it.”
Wall Street Journal

"For anyone who invests in health, works in health tech or simply cares about where this industry is headed, this is a smart and necessary read."
Entrepreneur

Healthcare is broken—but we can fix it. Our current system is plagued by staggering costs, inadequate outcomes, and pervasive inequities. How can we deliver long-overdue change and make this system work for everyone?

In this groundbreaking book, Halle Tecco provides an insider’s guide to transforming our healthcare system through innovation. Drawing from her extensive experience as an entrepreneur, investor, and professor, she delivers a practical roadmap for addressing the most pressing challenges. Combining personal narratives, compelling case studies, and actionable frameworks, Tecco explores how to identify opportunities for meaningful change and build sustainable, scalable solutions that align profit with purpose. She acknowledges the difficulties—such as regulatory hurdles, misaligned incentives, and resistance to change—but shows how entrepreneurs can turn obstacles into their competitive advantage.

Bridging the gap between Silicon Valley dynamism and healthcare’s evidence-based approach, Massively Better Healthcare offers a realistic yet optimistic view of what’s possible. Written for everyone from seasoned professionals to aspiring innovators, this book shares an inspiring and attainable vision of a better healthcare system and equips readers with the essential tools to succeed.

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Price: $32.00
Pages: 304
Publisher: Columbia University Press
Imprint: Columbia University Press
Publication Date: 10 February 2026
Trim Size: 8.50 X 5.50 in
ISBN: 9780231222365
Format: Hardcover
BISACs: BUSINESS & ECONOMICS / Industries / Healthcare, MEDICAL / Health Care Delivery, BUSINESS & ECONOMICS / Entrepreneurship, POLITICAL SCIENCE / Public Policy / Health Care
REVIEWS Icon
Halle Tecco has the DNA of a healthcare innovator who had to break into an industry highly resistant to change. Through her success, the invaluable things she’s learned are well articulated in and needed for Massively Better Healthcare.
— Eric Topol, author of Super Agers and Deep Medicine

In Massively Better Healthcare, Halle Tecco does what public health and healthcare practitioners have long hoped for: She bridges the gap between innovation and impact. This book is a masterful exploration of how we can reimagine the delivery of healthcare. With real-world insights and compelling storytelling, Tecco doesn’t just diagnose the problems: She provides a blueprint for meaningful, systemic change.
— Megan L. Ranney, dean of the Yale School of Public Health

Halle Tecco is as inspiring today as she was when we first met at the launch of Rock Health. Our uniquely public-private healthcare system still demands an ‘all hands on deck’ approach, and Tecco’s roadmap equips the next generation of innovators with the insight they need to navigate its complexities and drive meaningful change.
— Aneesh Chopra, former chief technology officer of the United States

[Halle Tecco] Pens Playbook for Healthcare Entrepreneurs

For anyone who invests in health, works in health tech or simply cares about where this industry is headed, this is a smart and necessary read.

A very valuable read especially for somebody coming into healthcare with [the] intention to fix the system.
Halle Tecco is the founder of the venture fund Rock Health and an investor in more than fifty digital health companies. She is an adjunct professor at Columbia Business School and a course director at Harvard Medical School, where she teaches the next generation of leaders about healthcare innovation. She holds an MBA from Harvard Business School and an MPH from Johns Hopkins University.

Preface: Who Are You to Do This?
Part I. US Healthcare: Make It Make Sense
1. The Dire Need for Healthcare Innovation
2. Healthcare’s Not-So-Simple Food Chain
3. Healthcare’s Sleeping Giant
Part II. The Anatomy of Healthcare Innovation
4. What Does Innovation Look Like?
5. Where Does Innovation Come From?
6. Healthcare Is Hard, So Make Hard Your Moat
7. When Innovation Fails
Part III. The New Rules of Building Massively Better Healthcare
8. Rule 1: Work from the Inside Out, Not the Outside In
9. Rule 2: Align the Margin and the Mission
10. Rule 3: Be a Good Steward of Health Data
11. Rule 4: Invest in Evidence
12. Go Forth and Fix Healthcare
Acknowledgments
Notes
Index