Recent health care reform has paved the way for the industry to move from a traditional fee-for-services model to a value-based services model. emphasis is shifting from the volume of patients and services toward investing payer funds into care that adds value and improves health outcomes. With these reforms has come closer attention to physician incentives, initiatives to make the system more transparent, and attempts to openly engage patients. this has changed the landscape of the hospital at all levels, which poses new challenges for the hospital c-suite.