Getting To Scale Without Mergers

Consolidation has been seen by many executive teams as a strategy necessary for long-term survival given the changing health and human services market—more value-based reimbursement, the continued shift to managed care, new (and better funded) competition, and tight margins have made "growth" seem like the best path towards sustainability. This has lead to a continuous explosion of merger and acquisition (M&A) activity. There was a 14.4% growth from 2017 to 2018 in Health care M&A activity. And in 2018, behavioral care mergers  had the most growth among all health care sectors—a . . .