Elizabeth Wells may face several challenges in executing her strategy at Redwood Health System. Some potential problems she may encounter include: Resistance to change: Implementing significant changes in an organization can often be met with resistance from employees, especially if they are accustomed to the current way of doing things. Wells may face pushback from physicians, staff, and other stakeholders who are resistant to change or fear the impact it may have on their roles or autonomy. Financial constraints: Shifting from a fee-for-service model to a value-based care model requires significant financial investments in infrastructure, technology, and care coordination. Redwood Health System may face financial constraints in implementing these changes, especially if they are already facing financial challenges or limited resources. Physician engagement and buy-in: As the CEO, Wells will need to gain the support and engagement of the physicians within the system. Physicians play a crucial role in delivering care and may have concerns about changes to their compensation models or practice patterns. Building trust and collaboration with physicians will be essential for successful implementation. Operational complexities: Redwood Health System is a ten-hospital system with multiple service lines and diverse patient populations. Implementing changes across such a complex organization can be challenging, requiring coordination, communication, and alignment