The health care business is changing, more so in the past five years, than the preceding 20. Expanded roles for providers, alternative payment models and cutting-edge technology are altering the way we do business. But does patient care trump revenue in the emerging models? Dr. John Birkmeyer, the executive vice president of Dartmouth- Hitchcock Medical Center, visits the scope to discuss the strategies being developed to create a sustainable health care organization in modern times that values and prioritizes patient care.