"People make choices based on performance in every other walk of life. Why not in #healthcare? We are going to see more of these market based solutions begin to unfold. #Hospitals and #healthcaresystems need to be prepared to compete in this kind of environment. They need to develop the skills today or they won't be as relevant as they need to be tomorrow."- Paul Keckley, president of the Keckley Group, a healthcare advisory firm.