As the adage goes: “The more things change, the more they stay the same.” This certainly holds true for healthcare delivery. Today, health systems are attempting to reinvent themselves again – either by changing their name, logo, North Star vision or all of the above – to better reflect what they claim is a new value proposition for their patients and communities. While new labels may sound good, they do not change the grim state of the industry today. Healthcare systems are in critical condition, operationally and financially, largely the result of self-inflicted wounds. And given their continued fierce resistance to pivot from a failing fee-for-service (FFS) model to one that is more patient-centered, these latest moves appear to be, on some level, disingenuous.