At the Helm

Insights for the C-suite

'An ethical responsibility': How Cleveland Clinic CEO Tom Mihaljevic plans to reach 4M patients by 2024

by Eric Larsen, President, larsene@advisory.com October 9, 2019

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

In this edition, Tom Mihaljevic, president and CEO of Cleveland Clinic, talks about the extraordinary circumstances that took him from Croatia to the Clinic's C-suite, his view on growth as an "ethical responsibility," and why you should call your mother every day.

Read more »

Why Jim Hinton, CEO of Baylor Scott & White Health, says 'there isn't a hospital system of the future'

by Eric Larsen, President, larsene@advisory.com September 25, 2019

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

In this edition, Jim Hinton, CEO of Baylor Scott & White Health (BSW), talks about joining Texas' largest nonprofit health system as an "outsider," the "freedom of capitation," how he's redefined the role of provider-sponsored plans, and some reflections on the BSW-Memorial Hermann merger that didn't come to pass.

Read more »

Hospital mergers always promise 'economies of scale.' Why do so few deliver?

David Willis September 25, 2019

In my three most recent blog posts, I've been unpacking the concept of "systemness"—and seeking to understand why so few systems have been able to achieve it. I've been breaking it down though a four-part framework my Advisory Board colleagues developed, which I initially used to explore first-level systemness, which we define as using scale effectively to build operational advantage, followed by second-level systemness, which we understand as achieving clinical advantage by reducing unwarranted variation in all patient-facing processes.

Read more »

Patrick Conway led the industry in health care transformation at CMS. At Blue Cross NC, he's not stopping.

by Eric Larsen, President, larsene@advisory.com September 12, 2019

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

In this edition, Patrick Conway, president and CEO of Blue Cross Blue Shield North Carolina, talks about the "biggest change in the Blues system in more than 20 years," the family "mission statement" behind his career choices, and how he's challenging the industry on health care transformation—with an unprecedented model of two-sided risk.

Read more »

From Ascension to Intermountain and now 'home' at SSM Health: How Laura Kaiser is 'systematizing' mission-based care

by Eric Larsen, President, larsene@advisory.com September 4, 2019

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

In this edition, Laura Kaiser, president and CEO of SSM Health, talks about the call to nonprofit health care, SSM Health's legacy of caring for "Our Dear Lords," and why she's completed at least one triathlon almost every year—for the last 36 years.

Read more »

Sutter CEO Sarah Krevans wants health care to be 'dramatically different in 10 years.' Here's how.

by Eric Larsen, President, larsene@advisory.com August 27, 2019

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

In this edition, Sarah Krevans, president and CEO of Sutter Health, talks about what's not in her professional biography, discusses how California's Lake County fires helped define Sutter as a health system, and shares the "very luckiest thing" about herself. 

Read more »

Brian Gragnolati plans to make Atlantic Health System 'indispensable.' Here's how.

by Eric Larsen, President, larsene@advisory.com August 20, 2019

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

In this edition, Brian Gragnolati, president and CEO of Atlantic Health System, talks about his priorities as chair of the American Hospital Association, getting his first role as a hospital president while he was still in his twenties, and how he plans to make Atlantic an "indispensable" system.

Read more »

Our take: The 3 big critiques of Medicare's move toward price transparency

Yulan Egan August 2, 2019

On Monday, CMS released its proposed rule for updates to the hospital outpatient prospective payment system (HOPPS). Our team is in the midst of breaking down the full implications of the rule, including proposals that would advance site-neutral payments and the ongoing shift toward lower-cost care settings—you can read our initial take here and sign for our upcoming webinar here.

Read more »