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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The Ripple Effect
May 1, 2026There has been a lot of confusion about how last year’s Congressional budget bill, coined the One Big Beautiful Bill Act (OBBBA), signed into law on July 4, 2025, will affect Medicaid this year (see The 2025 Federal Budget Reconciliation Bill… -
When You’ve Seen One
April 30, 2026Getting your arms around the current state of risk-based, value-based, and performance-based reimbursement in the health care field is no simple task. But the recently-released market analysis—APM Measurement Progress Of Alternative Payment Models—does a good job of both definitions and… -
Reinventing Mobile Crisis
April 29, 2026The use of mobile crisis teams (MCTs) is accelerating across the country. Between 2022 and 2023, there was a 19% increase in the number of MCT—from about 1,330 to 1,585. The MCT served more than 61,000 consumers in 2023, a… -
Combining Care & Collaboration
April 28, 2026The current and future health care workforce shortage is a strategic issue that every health and human service executive is acutely aware of. There is data on current and future shortages from several sources. The federal data (see HRSA Data… -
Fostering Health
April 27, 2026On November 24, 2025, the U.S. Department of Health and Human Services, through the Administration for Children and Families, launched the “A Home For Every Child” pilot program (see ACF Unveils New Initiative to Strengthen American Families–A Home For Every Child). The… -
Tracking The Upswing
April 24, 2026The coverage of Medicare beneficiaries by ACOs is on the upswing—as is the use of risk-based reimbursement models. As of January 2026, 14.3 million Medicare beneficiaries, approximately 23%, were enrolled in Accountable Care Organizations (ACOs), up from 13.7 million in 2025,… -
A Home For The Whole PersonÂ
April 23, 2026NCQA recently announced they will be expanding their work with federally qualified health centers (FQHCs) and FQHC look-alikes this year. There are already 3,200 health centers that have earned the Patient-Centered Medical Home (PCMH) Recognition from NCQA. But going forward, NCQA… -
Making Something Big Happen
April 22, 2026Are you planning a big strategic change for your organization? An acquisition? A new service line? Closing a service line? A new payer contract? A reorganization? Every executive approaches “big changes” with a combination of excitement and trepidation. How best… -
The QHIN Advantage
April 21, 2026Changes in federal and state health care policy—and the realities of health plan budgets—are going to bring more emphasis on performance incentives and value-based reimbursement in 2026. That was the conclusion of the recent analysis—2026 Value-Based Care Mandates: Financial Impact on… -
The Medicaid Squeeze
April 20, 2026Between 2023 and 2024,126 hospitals across the U.S. shut down their inpatient psychiatric units. And that was before the effects of last year’s Congressional Budget Bill, HR-1, (see 2025 Federal Budget Reconciliation Bill and Congressional Budget Office Supplemental Cost Estimate) have…
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