Forbes October 28, 2019
A decade ago, pundits were beating the drum about “bigness,” saying things like: “You need to get bigger.” “You need to have scale.” “You need local market dominance to matter.”
Similarly, healthcare leaders were told: “This is the only way to get to value.” “This is the only way to successfully invest in the technology required by a slew of new regulations.”
This advice – increasing scale to be successful – was only ever a half-truth. “The Answer,” merging with other health systems to gain local-market control and effectively negotiate with payers to preserve their rates, was only ever useful in enabling market-dominant healthcare organizations to game the system.
A retrospective look through the historic lens of healthcare made it...
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