This study, rooted in the context of ICBR 2023, delves into the Scandinavian health innovation and healthcare sector, renowned for its progressive approaches to societal well-being. We examine value creation through business model innovation in the digital health sector, aligning with the forward-thinking nature of Scandinavian healthcare within the project MetaRoad funded by the financier KK-foundation. Navigating the complex journey of healthcare innovation, we address challenges posed by the integration of information-driven care and precision health. Information-driven care, emphasizing data and technology for enhanced patient outcomes. Precision health, tailoring treatment to individual characteristics, presents implementation challenges requiring careful consideration of resource allocation and accessibility.

Building on recent literature, we contribute by focusing on how business model innovation unfolds in practice within the Scandinavian health innovation sector. We emphasize the role of institutional arrangements, the rules shaping resource integration, and the value-creation processes. Applying an institutional logic perspective, we investigate MedTech firms grappling with information-driven care and precision health in their business model innovations. Historical contexts and established institutional structures in the region play a pivotal role, offering nuanced insights into the collaborative approach needed for successful innovation.

Through a multi-case study involving early-stage MedTech companies and healthcare organizations in the Scandinavian healthcare landscape, we employ a grounded theory building approach. Interviews and workshops with company representatives and healthcare organization aligns with the conference theme's emphasis on research and development.

This study contributes to the discourse on value creation through innovation by unravelling coping mechanisms for misalignments in institutional logics during business model innovation in the Scandinavian health innovation sector. Our findings, rooted in the micro foundations of these misalignments, offer valuable insights for the evolving landscape of digital health solutions, contributing to collaborative efforts driving wealth creation at both organizational and national levels.