A Change in the Wind

I suspect many of us in this industry have been having the same types of conversations over the last three weeks.  Now that the Affordable Care Act (ACA) is moving forward, we all will continue what will certainly be a long journey towards changing the way healthcare does business.  Value-based purchasing, creation of accountable care organizations and national bundled payment pilots will force healthcare to strike the balance between cost and quality, without sacrificing either.

To me, this change in how we do business means that some of the truths we have always known need to be challenged.  For example, in the purchased services world

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