At the Helm

Insights for the C-suite

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.

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Why do so few big health systems achieve 'clinical advantage'?

David Willis July 2, 2019

In my recent series of blog posts, I've explored the idea of "systemness" from multiple angles. First, I examined the growing body of evidence that M&A is dilutive, not accretive, to margins—a finding that suggests few systems are achieving the benefits of M&A they hope for. Then I shared one possible reason why: Many health systems are "SINOs" (Systems in Name Only), functioning more as a confederation of individual parts than as a unified entity.

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The 3 big problems that undermine board effectiveness

Amanda Berra June 27, 2019

In last week's post, I described the status quo of hospital and health system boards. That was the warmup. Today, let's take it up a level. This post will examine what more boards could be doing for their organizations—and confront three root-cause governance problems standing in the way.

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A look at 'governance effectiveness' in hospitals and health systems today

Amanda Berra June 19, 2019

Over the past several years, we have seen a spike in comments to the effect that board members are struggling to keep up with the rising difficulty level of hospital and health system governance. Problems include the ever-widening array of external opportunities and threats, as well as the increasing size and complexity of hospitals and health systems themselves.  

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We asked 90 C-suite executives about their biggest concerns. Here's what they told us.

Yulan Egan , Andrea Martin June 13, 2019

At the start of every year, the Health Care Advisory Board research team conducts the Advisory Board Research Annual Health Care CEO Survey to identify the top strategic priorities for hospital and health system leaders. We were especially curious how executives plan to focus their agenda in 2019 after watching political uncertainties wax and wane and the private sector take over as the top catalyst for industry transformation in 2018.

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ProMedica CEO Randy Oostra reinvented himself at 30. Now he wants to reinvent health care.

by Eric Larsen, President, larsene@advisory.com May 22, 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, Randy Oostra, president and CEO of ProMedica, talks about the "life-changing" question that drove him to start over at age 30, ProMedica's burgeoning market in China, and what the HCR ManorCare acquisition means for the now-$7 billion system.

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Why Sentara's CEO is 'psyched' about its soon-to-launch 'digital front door'—and where he's taking the $6.3B system next

by Eric Larsen, President, larsene@advisory.com May 10, 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, Howard Kern, president and CEO of Sentara Healthcare, describes Sentara's award-winning approach to spreading best practices throughout its system, previews its new "digital front door" that will transform how patients interact with the health system, and reveals how Sentara has turned Medicaid managed care into a successful business.

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From 'what if' to 'let's go': How Lloyd Dean and Kevin Lofton built a $29B system—and where they're going next

by Eric Larsen, President, larsene@advisory.com May 2, 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, CommonSpirit Health CEOs Lloyd Dean and Kevin Lofton talk about how they moved the Dignity Health-CHI merger from "what if" to "let's go," why they don't consider themselves "co-CEOs," and how they plan to "set the trend" for health care in America.

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