Greetings from Gettysburg and the last day of the 2023 OPEN MINDS Executive Leadership Retreat. The focus this week was on leading in a time of change—changing payer and health plan expectations, a changing political and regulatory environment, and a changing workforce landscape. To dust off the sage observation from Heraclitus back in 540 BC, "The only constant in life is change."

But the ‘knowledge doubling time’ in health and human services has accelerated—from 7 years in 1980 to 73 days in 2020. As I discussed in my closing keynote, Leading For The Opportunities Of Tomorrow: The Executive . . .

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