As healthcare transitions to new incentives and requirements, the industry is experiencing a dramatic shift in key competencies. As hospitals' mission morphs from treating the sick and being paid on a fee-for-service basis to keeping patients healthy and being reimbursed on how well they manage that task, hospitals can either buy the talent they need or commit to developing it internally. Regardless, they must cultivate new competencies in areas such as risk management, case management, and medical informatics. Indeed, even senior leaders such as chief medical officers, chief nursing officers, chief financial officers, chief operating officers, and CEOs will have to broaden their capabilities and serve as a bridge between the clinical and financial.