Health care reform is expected to have dramatic effects on hospital finances, and this article investigates how those changes will affect hospital medicine. The reporter surveyed the top hospitalists in the business side of the industry for their predictions, sometimes conflicting, on how many hospitals are likely to go out of business and how many hospitalist jobs could be lost or gained under Obamacare. The article also offers advice to practicing hospitalist physicians on how to succeed during this upheaval and prove their value to employers and patients.