Pressures to the alliance remains a problem in health systems including a continuing lack in understanding on both parties to converge on strategies, investment mindsets, healthcare customer experience, business models, and agendas.

The traditionally highly conservative, rule-oriented, strict managerial role structure is being pushed to transition to a more forward-looking technology-based model requiring innovative, disruptive thinkers.

In total, 484 hospitals and inpatient organizations and 713 physician practices were represented in the sweeping Q1-Q2 2019 series of polls.