**The big picture:** The 2026 Hallmark Workforce Innovation Summit convened healthcare leaders to address persistent staffing challenges, emphasizing the need for flexible models and centralized workforce management. **Why it matters:** Healthcare organizations are struggling to retain talent due to burnout and lack of control, necessitating a shift from traditional staffing models to more adaptive, clinician-centric approaches. **Between the lines:** - Flexible staffing, including float pools, can retain clinicians and feed core roles, contrary to fears of pulling nurses away. - Physician and APC staffing faces unique complexities due to regulatory hurdles in contracting and compensation, making flexible models harder to implement. - Centralized workforce management, whether built with staffing agencies or from an MSP model, is crucial for handling contract staffing growth. **Staffing & HR impact:** Staffing firms must adapt their offerings to support flexible models and centralized management, while HR departments need to prioritize clinician autonomy and well-being to improve retention. This impacts recruiter mobility and gross margins. **The bottom line:** Healthcare staffing must evolve to meet the demands of the current workforce, focusing on flexibility, support, and strategic planning over traditional, rigid models.