AmCham Croatia emphasizes the importance of modernizing public procurement in healthcare through better planning, transparency, and value-based principles. While centralized procurement brings financial savings and efficiency, current practices still largely favor price, overlooking clinical outcomes and innovation. The application of the MEAT (Most Economically Advantageous Tender) criterion is often nominal, with qualitative criteria rarely used. Relying on a single supplier increases the risk of shortages and reduces market competition. AmCham proposes introducing multiple suppliers, stronger market analysis, realistic need and cost assessments, inflation-adjusted contracts, and greater use of non-price criteria based on evidence and clinical outcomes. More effective public procurement can improve access, safety, and efficiency in healthcare and ensure the system’s long-term sustainability.