Most health and human service executive teams acknowledge that their current service lines and portfolio will not be financially sustainable in the years ahead.;But few are certain about what a sustainable service line will look like five years from now.

The reasons for this state of change—and state of uncertainty—are well known. The shift to integrated care models, new competitors, declining margins on fee-for-service reimbursement, and new technology are just a few of the factors. And at the same time, the “knowledge doubling” rate in the health care field has shrunk to a mere . . .

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