Brawn and brains

Health systems have to be more creative today than ever before. Facing the new expectations and incentives of value-based care, providers are forging new alliances across the industry -- including with hospitals that have traditionally been competitors with very different approaches to operating.

Whether a hospital is part of an academic entity, owned by a county government, a public company or a nonprofit system, reimbursement and quality measures have created very familiar challenges around sustainability and profitability. To capitalize on new payment models, hospitals must play to their varied strengths and associate with new partners for the specialities they lack.