At the Helm

Insights for the C-suite

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.

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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USA Today's expose highlights a real problem. Here are 5 answers to the questions that executives and board members should be asking.

by Amanda Berra, Senior Research Partner July 31, 2018

The investigation by USA Today illuminates maternal safety shortfalls in a way that will prompt many hospital executives and board members to pick up the phone and start asking questions about the state of quality and safety at their organizations. Here are some of the questions that they will likely ask—and what they should keep in mind when searching for answers and better performance.

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'The disruptor, not the disrupted': How Advocate Aurora's co-CEOs plan to transform health care as a $12B system

by Eric Larsen, Managing Partner, larsene@advisory.com July 17, 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, Dr. Nick Turkal and Jim Skogsbergh, co-CEOs of Advocate Aurora Health, talk with Eric about what they're hoping to prove as co-CEOs, why they consider the multi-state enterprise a contiguous merger, their "admirable" differences that make their partnership work, and more.

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What 146 C-suite executives told us about their top concerns—and how they've changed this year

by Rob Lazerow, Managing Director, Advisory Board Research, and Yulan Egan, Practice Manager, Advisory Board Research July 11, 2018

At the outset of each year, the Health Care Advisory Board research team conducts the Advisory Board Research Annual Health Care CEO Survey to identify what issues are currently of greatest strategic importance to our hospital and health system members. Given the political uncertainties of the past year, the intensifying margin pressures sweeping across the industry, a new wave of mega-mergers, and the looming threat of disruptive innovation from outside entitiesespecially Amazon—we were curious to see which topics rose to the top in 2018.

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From nurse to CEO to AHA chair: Nancy Howell Agee on her improbable rise and the future of value-based care

by Eric Larsen, Managing Partner, larsene@advisory.com June 27, 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, Nancy Howell Agee, president and CEO of Carilion and chair of the American Hospital Association, talks to Eric about the "restlessness" that drove her from the nursing office to the C-suite, how she is guiding Carilion's pivot to value-based care, and how she helped reimagine the medical school curriculum to launch the Virginia Tech Carilion School of Medicine.


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