Greetings from Gettysburg and last day of the 2026 OPEN MINDS Executive Leadership Retreat. The theme of the discussions over the past few days has been the strategic “zigzags” required in an unpredictable market – and that “nimble” is the new name of the game.

From east to west, health and human service executives are navigating changes. In Delaware, the new Fair Standards in Mental Health Care Act passed – bringing new parity requirements (see Delaware Law Changes Mental Health Insurance Coverage Requirements). And Indiana launched a $68 billion procurement to rebid contracts for all four of its Medicaid managed care programs, covering approximately 1.5 million beneficiaries (see …