Maintaining competitiveness in a changing industry.

Abstract

The health care industry is undergoing a period of intense change. Mergers and acquisitions are common. Indemnity companies develop managed care divisions. HMOs develop PPO products. Hospitals form partnerships with medical groups. Unless government takes decisive action, (which appears unlikely), only the marketplace will eventually distinguish winners from losers. Meanwhile, these changes create anxiety for those of us trying to adapt to these changes. Change entails transition from the old to the new. Planning a smooth transition entails many decisions. Does it seem your management is always doing the wrong thing? Have you ever wondered if your own organization's actions are being sabotaged? Maybe they are. Maybe the following document is fiction, or maybe the author really did find it, crumpled and torn, behind the paper shredder. Because of the sensitive nature of the account, the author has asked for anonymity in return for supplying the story.