Courage of one's convictions is among the rarest of characteristics among leaders in any industry.
Harvard professor of change Clay Christensen's says that leaders of legacy organizations -- like hopsitals/health systems -- will not be the ones to disrupt it's own business model to adopt a new one. Yet the author of this article makes a great additional point: "No one looking to make a profit would enter the industry today under the current fee-for-service model. The margins just aren't there. However, there are margins to be made under a new business model, and whoever gets there first will win."
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