The path from academic discovery to patient impact has never been more complex. Federal funding shifts, market turbulence, and evolving expectations for commercialization are challenging traditional models of university tech transfer. Yet these pressures are also driving fresh approaches to how institutions partner, de-risk early science, and connect with industry and investors. This session convenes leading translational and academic innovation experts to share how top universities are reimagining models of partnership and entrepreneurship to ensure innovation thrives despite uncertainty. Panelists from MIT, Penn, Yale, and Brown will explore strategies for aligning institutional incentives, strengthening university–industry collaboration, and building regionally connected ecosystems that move discoveries from lab to market faster.