The factors leading to the higher costs and worse outcomes are diverse however it appears in the short term the 'fix' on the cost side will be on our backs.
Does the PM/AC merger have any impact on the cost side? Not likely.
On the outcome side maybe some better integration of best practices into the flow of documentation and plan but if you are like me anything that slows me down is not looked upon too favorably.
I somewhat anxiously await to see where the merger takes AC, no popup infomercials PLEASE!