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Scale Is Not Optional: The Growth Imperative For Long-Term Viability

January 28, 2026
11:00 AM ET

Executive Web Briefing Courtesy Of OPEN MINDS 

Health care is rapidly becoming a land of giants. Market volatility, rising costs, and increasing competition are placing unprecedented pressure on organizations that lack sufficient scale and diversification.

This webinar challenges health care executives to take a clear-eyed look at their organization’s long-term viability. Participants will explore how changing market dynamics are redefining sustainability—and learn how to assess whether independence remains a viable strategy or whether strategic affiliation is necessary for stability and growth.

Through a market-driven framework and real-world examples, leaders will gain insight into when scale strengthens independence, and when partnership becomes a strategic imperative.

Learning Objectives

  • Learn how insufficient size, narrow service portfolios, and limited financial flexibility increase sustainability risk for providers in today’s market.
  • Gain a practical framework to evaluate whether your organization is large, diversified, and resilient enough to navigate market instability independently.
  • Understand the signals that indicate partnership may be necessary, and how to approach affiliation as a proactive, market-driven strategy rather than a reactive move.

Take The OPEN MINDS Early Warning Assessment & See How You Compare To Your Peers

To accompany this webinar, we have created a custom assessment that provides a clear, objective view of whether your organization has the scale, diversification, and financial resilience required for long-term viability. The evaluation will deliver data-driven insights into your organization’s current position and sustainability risk, and provide next steps.

Featured Speakers

  • Paul Duck, Chief Strategy Officer, OPEN MINDS
    Paul M. Duck brings over 30 years of experience in leadership and management focusing on managed care, health information technology organizations, strategy, business development, and market expansion, and customer experience optimization to the OPEN MINDS team. Prior to joining OPEN MINDS, Mr. Duck served as the Vice President, Strategy & Development at Beacon Health Options. In this role, Mr. Duck led the organization’s strategy and business development efforts – responsible for a 30% increase in net revenue and initiated over $1 billion in revenue generation. Mr. Duck was active in national behavioral health initiatives as an executive of Beacon Health Options, including participating as a speaker at national and state association meetings.
  • Raymond Wolfe, J.D., Senior Associate,OPEN MINDS
    Raymond “Ray” Wolfe, J.D. brings over 40 years of experience in the health and human services sector to the OPEN MINDS team. His areas of expertise include managed care and value-based reimbursement models, financial analysis and management, mergers and acquisitions, CCBHC certification, integrated care, performance improvement, and strategic planning. Before joining OPEN MINDS, Mr. Wolfe served in a 22-year tenure with Pittsburgh Mercy Health System in Pittsburgh, Pennsylvania. Most recently, Mr. Wolfe served as the organization’s Chief Operating Officer (COO), where he was responsible for oversight of all system operations, strategic planning, and performance management. Under his direction, Pittsburgh Mercy achieved Certified Behavioral Health Center status, earned over $850K in value-based reimbursement contract quality bonus awards, integrated three organizations through merger/acquisition, opened a primary care service that was integrated into programming for the severe and persistent mentally ill and homeless populations, and adopted a new performance management program for managers.
AboutOPEN MINDS OPEN MINDS is a national market intelligence, management consulting, and marketing services firm specializing exclusively in the high-needs consumer market – mental health, addiction treatment, cognitive disabilities, chronic health conditions, elder services, health-related social needs, and adjacent markets within the health and human service field. The OPEN MINDS mission is to provide payers, service provider organizations, pharmaceutical, technology, and scientific firms that serve these consumers with the market and management knowledge needed to improve their organizational efficiency and effectiveness. Learn more at openminds.com.

Registration for this executive web briefing has been provided at no charge courtesy of OPEN MINDS.

An OPEN MINDS Circle account is required, which you consent to OPEN MINDS creating on your behalf if one does not exist.

Unable to attend? Still register! At the conclusion of the event, all registrants will receive a recorded copy of the executive web briefing and presentation slides.

Scale Is Not Optional: The Growth Imperative For Long-Term Viability

1/28/202611:00am EST1 hour
Health care is rapidly becoming a land of giants. Market volatility, rising costs, and increasing competition are placing unprecedented pressure on organizations that lack sufficient scale and diversification.

This webinar challenges health care executives to take a clear-eyed look at their organization’s long-term viability. Participants will explore how changing market dynamics are redefining sustainability—and learn how to assess whether independence remains a viable strategy or whether strategic affiliation is necessary for stability and growth.

Through a market-driven framework and real-world examples, leaders will gain insight into when scale strengthens independence, and when partnership becomes a strategic imperative.

• Learn how insufficient size, narrow service portfolios, and limited financial flexibility increase sustainability risk for providers in today’s market.
• Gain a practical framework to evaluate whether your organization is large, diversified, and resilient enough to navigate market instability independently.
• Understand the signals that indicate partnership may be necessary, and how to approach affiliation as a proactive, market-driven strategy rather than a reactive move.