George Bernard Shaw once said, “Progress is impossible without change...” The health care market is in the middle of a massive transformation – one that’s designed to ultimately improve outcomes and reduce costs. But getting there is going to be a challenge. The move to value-based reimbursement is uneven at best, thwarted by lack of provider organization readiness to assume downside risk and weak financial performance. This mismatch in market direction and market capabilities means we’re in for a time of turbulence. Market share will gradually move to provider organizations that are willing to accept risk. And, there . . .