Given the poor state of public healthcare in New Zealand, this study challenges researchers and practitioners to expand their conceptual repertoire beyond mere cost-cutting and piecemeal improvements to consider potentially transformative business models. It invites stakeholders to consider how they ascribe meaning to behaviour, events, and environments when participating in every aspect of healthcare provision. A Delphi study garnered expert opinion on the ideal healthcare system for New Zealand, which senior District Health Board interviewees confirmed should involve equitable access, patient-centred care, service integration, and shared resources. To deliver this ideal, traditional pipeline model elements and an emergent platform ecosystem were merged, creating a symbiotic, hybrid healthcare concept in which the pipeline’s efficient methodical processes and the platform’s flexible facilitation of patient/provider engagements combine to offer a context-specific approach to healthcare provision, superior value-based outcomes and fair distribution of resources. Model validation extended to consideration of a comprehensive implementation roadmap that emerged from the main mechanisms and stakeholder behaviours required to transform today’s healthcare system. As the healthcare landscape evolves, embracing dynamic and inclusive approaches that prioritise patients and harness the potential of technological advancements is crucial. By inviting practitioners to reflect on their participation in healthcare provision, this study contributes to the ongoing discourse on healthcare delivery models. It provides valuable insights for researchers, policymakers, and practitioners navigating the complex world of contemporary healthcare.