The health and human service field is seeing record numbers of mergers, acquisitions, and affiliations (MA&A) (see;Creating A Merger Strategy For Turbulent Times: A Managing Through Chaos Roundtable Discussion;and;Another Year, More Mergers). Many are driven by changing business models and questions about long-term financial sustainability.

But these various partnerships and collaborations are not guaranteed to succeed. In fact, many don’t achieve the original objectives (see;Purpose Trumps Structure;and;Don’t Make This Common M&A Mistake). So much of the potential success is dependent on . . .

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Executive Briefings

A series of insights from OPEN MINDS Founder and CEO, Monica E. Oss, Executive Briefings are crafted for executive leaders navigating the complexities of health and human services. Each briefing connects market intelligence with expert analysis to help guide strategy, respond to disruption, and improve organizational performance.

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  • For Merger Success, Lead With People

    October 6, 2025
    The health and human service field is seeing record numbers of mergers, acquisitions, and affiliations (MA&A) (see Creating A Merger Strategy For Turbulent Times: A Managing Through Chaos Roundtable Discussion and Another Year, More Mergers). Many are driven by changing business models and…
  • Clearing The LTSS Landscape

    October 4, 2025
    Total long-term services and supports (LTSS) spending was $563.7 billion, or 13.7% of the $4.1 trillion spent on personal health care in 2023—see Who Pays For Long-Term Services And Supports?. Public payers accounted for most of it at 69.4%—though that…
  • In Case Of Emergency, Break Glass

    October 3, 2025
    Women dominate the U.S. health care workforce, yet there is the perception (and reality) of a glass ceiling. A recent study of Medtech Big 100 companies (the largest medical technology companies)—Women Gain Ground In Medtech Leadership, But Parity Remains Far Off—confirmed…
  • With Malice Toward None

    October 2, 2025
    Another year, another political cliff. As of October 1, 2025, the U.S. federal government has entered a partial shutdown caused by the failure of Congress to pass either the 12 annual appropriations bills or a stopgap continuing resolution. This avoidable…
  • Leadership Defined By Mindset

    October 1, 2025
    Right now, the challenges facing leaders in the health and human service field are many. Leaders need to find a path to mission and financial sustainability by navigating the changes in the role and rules of government, the market footprint…
  • The Growing Government Contracting Juggernaut

    September 30, 2025
    U.S. health care spending (both public and private) is projected to reach one-fifth of the economy by 2033. Health care costs have increased steadily to account for 17.6% of gross domestic product (GDP) in 2023—up from 7.2% in 1973 and…
  • The Broken Link—Retention & Education

    September 29, 2025
    Workforce—including supply, retention, and upskilling—remains a major strategic issue for most health and human service organizations. One indicator—turnover rates are high—even in the c-suite. Through May, the chief executive officer turnover rate was the highest in the recent past, up…
  • Revenue Over Volume

    September 27, 2025
    How are health systems planning to navigate the year ahead? One of the takeaways from the new survey of financial leaders—Survey Insights: Health System Capital Spending Trends—is that margins and revenue are the focus. Volume of services is no longer…
  • The ER Bottleneck

    September 26, 2025
    Of Medicaid-enrolled youth who have mental health-related emergency department (ED) visits, 11.9% resulted in boarding in the ED. “ED boarding” is defined as the practice of holding consumers in the emergency department for three to seven days while awaiting an…
  • The C-Suite View: Best Of The 2025 OPEN MINDS Executive Leadership Retreat

    September 25, 2025
    What is the c-suite perspective on the current economic climate? Most chief executive officers (57%) expect today’s political and economic uncertainty to last well beyond a year. And over half (52%) are investing for growth. These were the findings of…
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