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Two years ago, Saint Luke's Health System in Kansas City, MO, was faced with a challenge: Improve payer mix while enhancing the health of our community and remaining true to our organization's mission. At first, it seemed like a tall order. But thanks to some creative thinking, a redistribution of marketing dollars, strong support at the highest level, and a business strategy that reflected the realities of a dramatically changing market, Saint Luke's achieved all of those goals and more.