Health systems are under intensifying pressure to reduce costs, streamline technology, and still deliver on innovation. For many CIOs and digital health leaders, this means confronting a tangled web of overlapping tools, sunk costs, and vendor fatigue, without losing the support of clinicians or derailing care delivery. In this exclusive HIT Leaders & News Q&A, Ryan Bengtson, CEO of Panda Health, shares grounded strategies for rationalizing the tech stack, managing tech debt, and preserving long-term digital health ROI. With insights spanning procurement, cybersecurity, and clinician change adoption, Bengtson draws on decades of experience to explain how health systems can cut wisely, consolidate meaningfully, and stay agile for the future.