At the Helm

Insights for the C-suite

The Senate's health care bill just dropped. Here's what you need to know.

Chas Roades June 22, 2017

Chas Roades

The biggest surprise in the health care bill released by Senate Republicans may be just how similar it is to what the House passed last month.

To be sure, there are several important differences between the Senate bill—called the Better Care Reconciliation Act—and the House-passed American Health Care Act (AHCA):


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10 takeaways on the MACRA proposed rule

Dennis Weaver, MD, MBA June 21, 2017

Dennis Weaver

CMS on Tuesday released its 2018 proposed rule to implement MACRA's Quality Payment Program (QPP).

The agency is accepting comments on the proposal through August 21, and we expect a final rule to be released in the fall.

We're still analyzing the 1,058-page proposal, and will have more key insights and action items to share in our upcoming webconference on July 11 at 3 p.m. ET. (Register now to secure your spot).

Here are our 10 early takeaways:

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Building the 'Tesla' of health systems: Where Marc Harrison plans to take Intermountain next

by Eric Larsen, Managing Partner June 6, 2017

Welcome to the "Lessons from the C-suite" series, featuring Managing Partner Eric Larsen's conversations with the most influential leaders in health care.

In this edition, Marc Harrison, president and CEO of Intermountain Healthcare, talks to Eric about crafting a cohesive team with employees from 71 countries, taking Intermountain from a "horseless carriage" to a Tesla, and leading as a physician—and as a patient.

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3 reasons why the CBO score should be a wake-up call for hospitals

By Chas Roades, Chief Research Officer, and Yulan Egan, Senior Consultant May 24, 2017

The new Congressional Budget Office (CBO) score for the House-passed American Health Care Act comes at a crucial time for lawmakers, and we'll be watching closely to see how the new analysis affects ongoing Senate discussions about health reform.

But CBO's report also comes at a critical time for hospital and health system leaders, who need to take this opportunity to assess whether they're best positioned to succeed in the next era of health care reform.

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Hackers struck 45 UK medical facilities. Follow these best practices to avoid being next.

by Robert Musslewhite, Chairman and CEO, and Eric Banks, Chief Information Security Officer May 23, 2017

The cyberattack that swept the internet earlier this month had a surreal quality, as though ripped from a spy thriller.

Computers in 45 medical facilities across the United Kingdom were knocked offline by hackers who demanded a ransom to restore the systems' functionality.

A National Health Service staffer told BBC, "Patients will almost certainly suffer and die because of this." Some hospitals couldn't even print nametags for newborns.

In total, hackers struck at least 75,000 computer systems across 99 countries. To add an element of spy-versus-spy drama, the hackers apparently exploited a security flaw first discovered by the NSA that was leaked earlier this year.

But while the details of the attacks are extraordinary, so-called "ransomware"—which encrypts a user's files and demands a payment for the decryption key—is becoming frighteningly familiar to hospitals around the world.

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Why Mount Sinai's CEO says, 'If our beds are filled, it means we've failed'

by Eric Larsen, Managing Partner May 19, 2017

Welcome to the "Lessons from the C-suite" series, featuring Managing Partner Eric Larsen's conversations with the most influential leaders in health care. In this edition, Ken Davis, CEO of Mount Sinai Health System, talks to Eric about his background as a psychiatrist, how he revamped Mount Sinai by "betting the ranch," and the health system's commitment to population health.

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The House just passed ACA repeal. Now what?

Chas Roades May 4, 2017

In voting 217-213 to pass the American Health Care Act (AHCA), the House just accomplished something that seemed highly improbable just six weeks ago.

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What 183 C-suite executives told us about their top concerns

by Ben Umansky and Christine Lee May 2, 2017

One of the most exciting times of the year for us and our colleagues on the Health Care Advisory Board research team is when we conduct our Annual Health Care CEO Survey. It's our chance to learn which of the many issues our members ask us about are especially urgent right now. And all the political uncertainty here in Washington, D.C., made us more curious this year than ever. 

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