Few health care leaders would disagree that the U.S. health care industry needs to drastically change. But do we have leaders in place who have the courage to raise their hand and lead the charge? In the classical theory of disruption, reform from within is almost impossible. It is hungry, fast-moving new entrants that upend slumbering incumbents. But at athenahealth, we're seeing early signs of another possibility; more than any time in recent memory, provider groups themselves are preparing to do the disrupting. Over the past two years, we've convened health care leaders at roundtables and other events to discuss the challenges and opportunities they face, both inside their organization and from the external market.
