The Definition Of “Big” Is Changing Again

This week, we wrapped The 2023 OPEN MINDS Performance Management Institute here in sunny Clearwater Beach, Florida. A highlight of the week is our annual management seminar, “Getting To The Right Scale: The OPEN MINDS Executive Seminar On Successful Mergers, Acquisitions & Affiliations” lead by OPEN MINDS Senior Associates Joe Naughton-Travers and Ken Carr.

As my colleagues emphasized, mergers, acquisitions, and affiliations (MA&A) are all about scale—being big enough to be able to compete in any given market sector. That may be scale in terms of financial reserves, market share, unit costs, service line or payer . . .