DOI: https://doi.org/10.36347/sjebm.2026.v13i03.004

Pages: 116-129

Healthcare systems in the United States face persistent challenges in the areas of ensuring balance among key variables such as, financial sustainability, equity, and quality of care. This article introduces the Healthcare Financial Sustainability and Cost-Effectiveness (HFSC) model, which is a leadership centred framework developed for the purpose of strengthening the economic foundation of public healthcare in the United States. The model is made up of five key pillars; financial efficiency, resource allocation, leadership and governance, technology and data-driven insights, sustainability and resilience. Using a qualitative approach like the semi-structured interview method, 15 senior healthcare leaders were interviewed, with the data derived analyzed using the thematic data analysis. This study strives to explore how the HFSC model can be applied in the U.S healthcare systems with a view to addressing wastes and ensuring financial sustainability. Findings of the study indicated, that leadership culture, data-driven decision-making and value-based financing, as well as scenario-based resilience planning are essential for sustainable and result-yielding reforms in the healthcare systems in the U.S.