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interaction, an interaction that begins even before leaving home. Lower-acuity care remains close to the patients at home; follow-up and primary care is accessible "on demand" and it is only when patients are facing more acute or compli- cated care that they travel to the higher-acuity care options. With various locations for patients to receive the level of care they need — close to home and at a variety of price points — a health network can behave as an organism coordi- nating all its parts. Future success will require a diff erent playbook than the one health systems are operat- ing with today and must react to the growing demand for patients to receive great care when they need it, where they need it, for a price they can aff ord. The initial 2015 and 2016 Site Neutrality Rulings from the Centers for Medicare and Medicaid Services limit any outpatient facility from maintaining the technical fees and hospital-based pricing if opened more than 250 yards from a hospital. These rulings appear to run counter to the goal for care closer to patients in their communities. While attempting to provide more low-cost options for patients closer to home, this ruling may create barriers for future construction of care centers within the community. Navigating today's health- care landscape, health net- works and architects must act together with agility and ef- fi ciency to put forth a diversity of healthcare facility solutions — collaborating to bend the cost curve by designing for the entire continuum of facilities that deliver the right care, at the right time, with the right price, in the right place. Louis A. Meilink Jr., AIA, ACHA, ACHE, is a principal at Ballinger. He can be reached at lmeilink@ballinger. com. Christina Grimes, AIA, EDAC, LEED BD+C, is a senior associate at Ballinger. She can be reached at cgrimes@ballinger.com. A consumer relationship platform to build patient loyalty