Discussions about organizational strategy can easily take a negative turn, especially when talking about whether boards of directors at specialty provider organizations are up for the challenge of governance in a value-based market. Admittedly, the focus on value and increasing financial risk in contracts is testing the limits of board governance, particularly for non-profit organizations that are often financially risk averse.

This is mostly the result of how boards have traditionally functioned. The role of board members is often focused on financial controls and financial sustainability—defined as a "positive bottom line." For non-profit organizations, this also . . .

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