Go beyond the contract. Close the Performance Gap.

We orchestrate your full supply chain lifecycle so contracted savings reach the bottom line, not just the contract.

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The Performance Gap

You negotiated the savings. Did they reach your bottom line? 

Margin compression, decentralized care and workforce gaps are structural challenges. But one opportunity remains within your control: closing the gap between the value you negotiate and the value you realize across supplies and services. 79% of senior health system executives say their organization experiences this challenge.*

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Where value is lost

Why negotiated value goes unrealized

The Performance Gap spans the supply chain lifecycle, but unrealized value tends to fall into three connected areas.

Close the Contracting Gap and put more of your spend to work

When spend falls outside contracts or is too fragmented to manage, negotiated value can get lost before it reaches the bottom line.

Solutions to help close the contracting gap

  • Strengthen indirect spend visibility and control
    Vizient category experts bring specialized insight to categories that are harder to see, source and manage.
    Explore Indirect Spend
  • Leave no dollar unmanaged across off-contract spend
    Agentic Sourcing helps healthcare organizations identify and address off-contract purchases, engage suppliers, and uncover savings opportunities that often go unmanaged.
    Explore Agentic Sourcing
  • Transform purchased services data into strategic action
    Purchased Services Analytics provides healthcare-specific insights that help organizations identify variation, benchmark performance and prioritize opportunities across purchased services categories.
    Explore PSA

Close the Operations Gap and protect negotiated value

Value is lost between contract and payment due to pricing discrepancies, missed incentives and workflow breakdowns that keep savings from reaching your bottom line.

Small discrepancies across orders can add up to a much bigger challenge

Illustrative order for 100 cases: contract $50 per case; purchase order and invoice $60 per case. A $10 difference per case puts $1,000 at risk. Prices and quantity are assumed.

Solutions to help close the operations gap

  • Prevent value leakage and sustain performance
    Supply Chain Operations offers solutions to connects data, technology, workflows and services.
    Explore Supply Chain Operations
  • Verify every price against your GPO contract
    Matching a PO to an invoice isn’t enough. We check both against your contract and flags overpayments early.
    Explore P2P Price Assurance

Close the Utilization Gap and unlock more value

Even with strong contracts, opportunities remain to improve how products and services are selected, adopted and used.

The utilization gap shows up when health systems lack the visibility and support to:

  • Increase adoption of preferred products and contracts
  • Reduce unnecessary variation in purchasing and utilization
  • Identify where utilization patterns are driving higher cost
  • Connect cost, utilization and outcomes to better decisions

Solutions to help close the utilization gap

  • Connect cost, utilization and outcomes
    Give clinical and supply chain teams a clearer view of where value is being realized and where it is slipping away.
    Explore Clinical Integration
  • Build resilience before disruption hits
    Even with strong contracts and efficient operations, vulnerabilities remain when organizations lack visibility into supply chain risk.
    Learn more about Reserve
  • Drive accountability and performance
    Strengthen supplier partnerships, monitor progress and capture greater value from every agreement.
    Learn more about Commit

Results you can measure

What closing the Performance Gap actually delivers

When negotiated value reaches your bottom line, here's what becomes possible.

Funding clinical capacity

Recovered value funds frontline staffing, reduces reliance on costly premium and travel labor, and keeps clinical teams focused on patient care instead of coverage gaps.

Expanded access to care

New ambulatory and community sites become possible, extending care into underserved markets without adding financial strain to the system.

Protecting operating margin

Operating margin stays protected, funding reinvestment in facilities, imaging, and surgical technology, all without cutting existing programs or services.

Insights

See what's shaping your spend, margin and supply chain

From contract to cash, explore the latest research on where healthcare spend is heading, and how to protect the value you’ve already negotiated.

Business leader speaking in office meeting
VizientArticle

The Performance Gap: Healthcare’s next opportunity to turn savings into enterprise value

By Simrit Sandhu|7 min read|Sep 24, 2026

Supply chain and cost management

Discover how health systems can close contracting, operations, and utilization gaps to turn negotiated savings into realized enterprise value.

VizientArticle

Closing the contracting gap: From fragmented spend to managed opportunity

By Blaine Douglas|7 min read|Oct 15, 2026

Supply chain and cost management
VizientBlog

Beyond the contract: Making every dollar perform

By Simrit Sandhu|3 min read|Aug 5, 2026

Supply chain and cost management
VizientArticle

What do we really mean by a clinically integrated supply chain?

By Dan Kistner|6 min read|Sep 23, 2026

Supply chain and cost management

*Source: Vizient Spend Narrative and Concept Test, Phase 1 qualitative study of 62 senior U.S. hospital and health system executives, fielded July–August 2026. Results are directional due to the small sample size (N=62) and should be interpreted as indicative themes rather than statistically representative market findings. 

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