AmCham Croatia highlights the need for reform in public procurement practices in the healthcare sector. While centralized procurement brings cost-efficiency, the current system often favors the lowest price over clinical value. AmCham advocates for value-based procurement with clear technical criteria, better planning, and the use of quality-focused MEAT (Most Economically Advantageous Tender) criteria. Recommendations include stronger competition through multi-supplier contracts, improved transparency, and the recognition of innovative solutions that enhance patient outcomes. These changes are crucial for building a sustainable and resilient healthcare system that benefits both patients and the economy.