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Hospitals continue to lose significant money on employing physicians, and the original goals of care coordination and efficiency haven't materialized. Rising costs, declining reimbursement advantages, overutilization of low-margin services and administrative burdens are factors behind these unsustainable losses.

As organizations increasingly adopt a service line planning model, integrated strategic financial planning is more critical than ever.

Health system leaders can no longer afford to think of APPs as extenders or expensive scribes. They must work to effectively integrate APPs across clinical settings and develop the operational and financial data points needed to monitor the efficacy of that integration.

A five-step design process used by the SpaceX engineering team provides a framework for healthcare leaders seeking to transform how patients access their health system.