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This video outlines the volatile landscape of the U.S. human services sector, emphasizing the immense pressure caused by Medicaid policy shifts and the rise of managed care. Experts highlight how the One Big Beautiful Bill Act (OBBBA) and a new federal administration have introduced fiscal strain through funding cuts and stricter work requirements. To remain sustainable, providers are urged to adopt data-driven decision-making and pursue aggressive digital transformations to mitigate persistent workforce shortages. The sources stress that strategic consolidation and risk-based contracting are now essential for survival as the industry moves away from traditional fee-for-service models. Leaders are encouraged to utilize scenario-based planning to navigate a market characterized by high consumer acuity and decreasing financial margins. Ultimately, the materials serve as a strategic roadmap for organizations to leverage technology and partnerships to maintain service quality amidst systemic chaos.