“Trying to predict the future is like trying to drive down a country road at night with no lights while looking out the back window.” – Peter Drucker

With the arrival of a new year, every executive is looking ahead to the opportunity that a clean slate presents—and the fear that the unexpected will derail the best laid plans. 2025 brought with it unexpected and unprecedented changes that will likely have long-lasting effects on the strategy of every health and human service organization—changes in federal health and human service policy, in federal spending, in technology, in health plan management, and more.

The question is what is the market factor that will have the greatest impact on health and human service organization strategy…