We’ve written a lot recently on the increase in the size of organizations in the health and human service landscape—including the strategic questions of scale (see Bigger Is Not Necessarily Better, But…) and the growing market share of “payviders” who are aligning the financial incentives for delivering care with managing health benefits (see The ‘Payviders’ Are Coming—From Both Directions). The challenge for most executive teams is tracking the expansion of these players in the field. This means keeping on top of what is required to maintain competitive advantage and adjusting service line portfolios accordingly.

Nimble service line . . .

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