I think the payment model is going to be the key thing for us. If payers will pay, we’ll be all in. If they don’t pay, I think we’re still going to have to be in. The question isn’t all in or not. And that’s where we go back and forth.

Chad Brisendine, St. Luke's University

One of the realities is to leverage scale. There's a tipping point in terms of a market presence where you start to realize the benefits of scale. And if you don't get to that tipping point, then you have more of what I call an outpost. And you're not able to leverage either payer contracts or staffing or your physician network to your benefit

Rob DeMichiei, Retired CFO

When we started the enterprise install we took down at least 100, if not more applications just by bringing everything into Epic. For application rationalization, as managers and directors we're constantly aware of our contracts. What's coming in? What are we allowed to expand upon? Which vendors do we choose not to expand with any further?

Amanda Bass, Peace Health