Greetings from sunny New Orleans and the final day of the 2026 OPEN MINDS Strategy & Innovation Institute. Over the past three days, 500+ executives have discussed the many market shifts, emerging innovations in practice and technology, and how best to navigate and succeed in a time of great uncertainty.

Recent events made me rethink what that best practice strategy is right now. With recent developments, the market has shifted from turbulent to chaotic – defined as “the unknown, the uncertain, and the uncontrolled.”

For the past year, we’ve known that more people will be uninsured and housed in “institutional facilities.” That Medicare budget growth is inevitable, and Medicaid budgets are likely to shrink. That workforce shortages will continue at all levels. That…