I just returned from a very thought-provoking week at the mhca 2020 Winter Conference & Annual Meeting where I had the honor of delivering the keynote address, “The Future Has Already Happened—Looking Back To Predict The Future” during the association’s 35th anniversary celebration. In preparation for the event, I had fun reviewing the events of the past three decades – with a focus on those with the biggest impact on consumers with complex needs. During this review, I was reminded of the sage words of two of my favorite authors. “Past is prologue,” from William Shakespeare—the premise . . .

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