The consensus is clear: U.S. healthcare costs are unsustainable, and national health outcomes—lower than those in developed countries that spend much less—must be improved. Consumers, employers, the government, and other stakeholders are spurring the industry to meet the challenge of making healthcare more affordable, while improving its quality and access.

This is not business as usual, involving incremental change. Financial realities—lower revenue and nonstop expense, consumer, regulatory, and competitive pressures—demand a new way of providing care. To meet community needs under healthcare’s new business imperatives, and to participate as a “provider of choice” in narrow networks developing nationwide, organizations must have a strong value proposition and a cost position that is significantly lower than competitors.