At the Helm

Insights for the C-suite

What an 18th-century clockmaker can teach us about cost control. (Really.)

David Willis December 5, 2018

In our more poetic moments, health care consultants like to talk about how health system leaders must "navigate rough waters." We usually mean something rather more prosaic: that CEOs must steer their hospitals through mega-mergers, declining margins, and so on.

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What 'Amazon health care' could look like in 5 years

by Yulan Egan, Practice Manager, Research and Jackie Kimmell, Senior Analyst November 14, 2018

Editor's note: This story was updated on November 19, 2018.

While Amazon has grabbed headlines this week by announcing the location of its new headquarters (to be split between New York and Northern Virginia), the health care industry has been keeping a close eye on the retail, technology, and logistics giant for several months now.

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How the health care leadership gender imbalance hurts your organization—and 4 ways to make a change

Veena Lanka, MD November 7, 2018

Editor's note: This story was updated on December 6, 2018.

Fixing the gender imbalance in health care leadership is a long overdue challenge. Considering that women comprise 80% of the health care workforce, the number that actually make it into the leadership ranks (3% to 9%, depending on the role) is woefully inadequate. This gap is simply too large to be attributed to a difference in qualifications alone.

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3 assumptions hospital executives must shed to achieve high value care

Steven Berkow, JD , Veena Lanka, MD October 4, 2018

Current trends make clear that hospitals and health systems must embrace a different approach to constrain the cost of care they provide. The Congressional Budget Office projected in 2016 that 60% of health systems will be in the red in less than a decade at current course and speed. Nonetheless, expenses have still grown faster than revenues at most hospitals across the past two years, according to Moody’s Investor Service.

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From the seminary to the C-suite: How IU Health CEO Dennis Murphy is redefining the AMC

by Eric Larsen, Managing Partner, larsene@advisory.com September 13, 2018

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, Dennis Murphy, president and CEO of IU Health, talks about his "Forrest Gump" journey from the seminary to the C-suite; IU Health's planned consolidation of two century-old, iconic hospitals; and the key skill every leader—and mentor—needs to succeed.

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Exclusive Q&A: Meet Mayo Clinic's next CEO, Gianrico Farrugia

by Thomas Seay, Editor-in-Chief and Jackie Kimmell, Senior Analyst August 13, 2018

On Friday, Mayo Clinic announced that Gianrico Farrugia will take over as the organization's president and CEO beginning in January 2019. Shortly after the announcement, Farrugia and Mayo's current president and CEO, John Noseworthy, spoke with the Daily Briefing about why Mayo remains committed to physician leadership, its strategy for growth, and the three biggest challenges Farrugia will take on as CEO.

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CMS plans to 'retire' two major ACO tracks—and that's not the only big news in the ACO proposed rule

by Yulan Egan, Practice Manager, and Rob Lazerow, Managing Director August 10, 2018

Editor's note: This post was updated on August 14, 2018, to clarify details regarding Track 1+ application cycles for 2019 and beyond. It was updated again on October 18, 2018.

CMS just released a 607-page proposed rule intended to reform the Medicare Shared Savings Program (MSSP). Many health care leaders have been anxiously awaiting news on the future of the program for several months now; with the quiet delay of the usual spring application and renewal period for the program, rumors had been swirling that the ACO models might be poised for an overhaul.

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CMS just finalized the 2,610-page IPPS rule. Here are our 5 early takeaways.

by Eric Fontana and Kenna Hawes August 3, 2018

Yesterday, CMS released its Inpatient Final Rule for Fiscal Year (FY) 2019. The Rule is a staggering 2,610 pages and, for those who tuned in to the Proposed Rule, contains very few surprises, since many of CMS' changes were finalized as proposed. There's some good news for hospitals: FY 2019 marks the largest update in years, with payments under the IPPS expected to increase by $4.8B in FY 2019.

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