At the Helm

Insights for the C-suite

CMS predicts US will spend $6T on health care by 2027. Here's what you need to know.

Yulan Egan February 22, 2019

On February 20th, CMS' Office of the Actuary released its annual projections for national health expenditures across the next decade. Highlights from the report include the following projections:

Read more »

20+ years and 450+ hospitals and facilities later: How Ramsay’s CEO helped turn a small Australian system into an $8.7B global health organization

by Eric Larsen, Managing Partner, February 19, 2019

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, Craig McNally, CEO and Managing Director of Sydney, Australia-based Ramsay Health Care, talks about Ramsay's first-of-its-kind partnership to create a global health care buying group with Ascension, the key distinctions between a multinational organization and a global one, and the lessons learned from his first stint as a hospital CEO—at age 25. 

Read more »

Meet Peter Banko, Centura Health's CEO. (You may also know him as a cattle rancher and blogger.)

by Eric Larsen, Managing Partner, January 11, 2019

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, Peter D. Banko, president and CEO of Centura Health, talks about the intersection of faith and business, the relationship between his cattle ranch and his work, leadership lessons from the nuns who treated Billy the Kid, and why his blog is such an important communication tool for him.

Read more »

Maybe we shouldn't believe the hype about hospital mergers and acquisitions

David Willis January 9, 2019

There's little doubt that our industry has entered a new era of consolidation. While 2018 didn't see quite as many hospital and health system mergers as the year before (68 deals through Q3 2018, versus 87 through Q3 2017), the sheer size and scope of the deals this year underscores the popularity of this strategy. On a certain level, it's understandable. Facing challenges on all fronts (declining reimbursement, rising costs, demanding consumers, disruptive new competitors), health systems often believe that if they can just get big enough, they will be able to weather the storm—or at least not capsize.

Read more »

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.

Read more »

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 January 17, 2019.

While Amazon has grabbed headlines 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.

Read more »

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 January 11, 2019.

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.

Read more »

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.

Read more »