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Vertical integration is an ongoing trend as medical OEMs shrink their approved vendor lists (AVLs) to consolidate and simplify supply chains. However, the very definition of vertical integration is evolving to address modern challenges. The medical device industry is faced with unprecedented supply chain upheaval, rapid medtech innovation, and longer FDA approval processes in addition to rising costs in material, equipment, and labor —all against the burden of decreasing timelines. Though there’s no doubt vertical integration can help OEMs address cost pressures, the primary focus of vertical integration today is less about cost-cutting and more about capability building, improving efficiency and quality, and accelerating time to market.