This analysis examines how digital health ecosystems will take shape and scale through 2040, defining them as interoperable, trust-anchored platforms that connect people, data, and decisions across home, retail, and clinical settings. Using a streamlined framework—care journey, technological capabilities, and ecosystem actors—the report describes the transition from episodic, facility-centered care to continuous, AI-supported services delivered closer to where people live.

The analysis highlights the forces accelerating this evolution—maturing AI agents, cloud–edge architectures, interoperability mandates, demographic pressures, value-based economics, and cybersecurity as a prerequisite for adoption—alongside the structural challenges that must be managed, such as regulatory uncertainty, uneven digital maturity, equity gaps, and rising cyber and model risks.

• How can industry stakeholders identify high-impact opportunities and leverage strong ecosystem partnerships supported by a phased technology roadmap?
• Why should vendors prioritize platform trust, assurance & observability layers, and outcome reporting capabilities to compete effectively?
• What impact will megatrends like AI–human convergence, decentralization from hospitals to individuals, real-time evidence loops linking care delivery with reimbursement, and patient-controlled data portability have on future growth potential?