Mergers and acquisitions (M&A) continue in the health and human service field at a rapid pace. Future sustainability is the big driver of M&A with integrated care, value-based reimbursement, and new competition challenging the margins of organizations in the field (see 24% Of Health Care Executives Say Integration Was The Top Driver For Mergers & Acquisitions and 71% Of Health Care Provider Organization Leaders Believe Mergers & Acquisitions Will Increase). There were 90 hospital/health system mergers in 2018 and literally hundreds of mergers, acquisitions and affiliations in other sectors of the health and human . . .

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