At the end of the day, providers need to manage operations and serve their communities while playing with the cards they’re dealt, when they're dealt. The group was very mindful of this, and they aren’t looking at uncertainty with a wait and see attitude. Instead, the mantra is, "Well, the show must go on. What am I going to do to serve my community and meet my mission?"

In the face of sticky revenue, new competitors, and ever-increasing costs, ROI on IT, physicians, population health, and growth cannot be assumed. It’s time for providers to review each to recalibrate to higher returns.

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