You are the CEO of a medium sized healthcare system with about $2 Billion in revenue. You are profitable and independent. You have readied your system by becoming very cost effective and high quality. However you are at a flex point. You are convinced that healthcare is heading towards value based risk sharing. Although you are sure that your team is ready, you are not sure that you have the scale to take on risk. You have heard that you need at least $5 Billion in revenue to undertake risk contracts. How would you approach a do it alone versus merger scenario? Who would you include in the discussion, why? How would you frame the decision making process