Abstract--The United States spends more on healthcare than any other nation - nearly 17% of GDP as of the early 2020s - yet struggles with uneven access and outcomes [1] [2]. This paradox of high cost, variable quality, and inequitable access is often described by the "Iron Triangle" of healthcare [3], which posits that improvements in one dimension (access, cost, or quality) often come at the expense of the others. This paper explores how an Intelligent Healthcare Ecosystem (iHE) - an integrated system leveraging advanced technologies and data-driven innovation - can "bend" or even break this iron triangle, enabling simultaneous enhancements in access, cost-efficiency, and quality of care. We review historical and current trends in U.S. healthcare spending, including persistent waste and international comparisons, to underscore the need for transformative change. We then propose a conceptual model and strategic framework for iHE, incorporating emerging technologies such as generative AI and large language models (LLMs), federated learning, interoperability standards (FHIR) and nationwide networks (TEFCA), and digital twins. We introduce an updated healthcare value equation that integrates all three corners of the iron triangle, and we hypothesize that an intelligently coordinated ecosystem can maximize this value by delivering high-quality care to more people at lower cost. Methods include a narrative synthesis of recent literature and policy reports, and Results highlight key components and enabling technologies of an iHE. We discuss how such ecosystems can reduce waste, personalize care, enhance interoperability, and support value-based models, all while addressing challenges like privacy, bias, and stakeholder adoption. The paper is formatted per MDPI guidelines, with APA-style numbered references, illustrative figures (U.S. spending trends, waste breakdown, international spending comparison, conceptual models), equations, and a structured layout. Our findings suggest that embracing an Intelligent Healthcare Ecosystem is pivotal for optimizing the long-standing trade-offs in healthcare's iron triangle, moving towards a system that is more accessible, affordable, and of higher quality for all.