Healthcare in 2014 is in a state of flux. The Affordable Care Act (ACA) health insurance exchange marketplace opened in October of 2013 with a rough start, and it has still not gained traction. Meanwhile, Medicare and Medicaid are squeezing reimbursement, and there is a growing population paired with a shrinking supply of doctors. These are only a few of the challenges facing healthcare professionals today.

So what are administrators doing to meet these challenges and transform their institutions to meet these new realities? For one thing, forward-thinking leaders are not sitting on the fence. They are accepting the reality of lower reimbursements. They are taking a hard look at old thinking, and throwing it out if it doesn’t make sense anymore. Here are four habits of highly effective healthcare leaders:

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