Innovation is on the top of strategy “to do” lists for most organizations and for good reason. I think the most fundamental challenge for the executives of most organizations serving complex consumers is coming up with “the next big thing” (see Coming Up With The Next Big Thing). For many organizations, the services that have been the foundation of sustainability are losing their market preference and their margins.

The drivers of this change? Preferences for integrated care coordination and service delivery models, value-based reimbursement, consumerism, technology, and competition for talent. All these market developments are making traditional services obsolete . . .

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