Issue link: https://beckershealthcare.uberflip.com/i/170061
50 of the Most Powerful People in Healthcare p. 21 INSIDE 100 Hospital With Great Heart Programs: View the 2012 List p. 37 10 Ideas Hospital and Health System CEOs Need to Ditch Find Out Which Ideas May be Hurting Your Organization p. 28 Hospital Operators on ACOs: Lay the Groundwork, or Wait and See? p. 32 Finding Context Through a Mentor: Loyola CEO Larry Goldberg, Retired Northwestern CEO Gary Mecklenburg Share Best Practices for Mentoring p. 30 INDEX Special Section: Leadership & Development p. 28 Physician-Hospital Relationships & ACOs p. 32 Finance, Revenue Cycle & ICD-10 p. 33 Hospital & Health System Transactions p. 46 Hospital & Health System Executive Moves p. 47 Hospital Review BUSINESS & LEGAL ISSUES FOR HEALTH SYSTEM LEADERSHIP January 2013 • Vol. 2013 No. 1 8 Key Issues for Hospitals and Health Systems in 2013 By Scott Becker, JD, CPA, Amber McGraw Walsh, JD, and Anna Timmerman, JD, McGuireWoods This article explores eight of the most challenging and interesting issues that hospitals are facing as they move into 2013. Such issues include physician alignment strategy, the ability of hospitals to stay independent, the development of accountable care organizations, the evolving priorities and concerns of CEOs and several other issues. This article is written within the context of healthcare consolidation that is occurring at all levels. At the hospital level, hospitals are merging into other hospitals, and independent hospitals are finding it more challenging to thrive on their own. At the hospital-physician level, the system has shifted toward one in which nearly 50 percent of all physicians are employed by continued on page 9 The Year Ahead: 10 Challenges That Will Shape Hospital Strategy As President Barack Obama begins his second term, his landmark healthcare reform law continues to be implemented, and healthcare providers are slowly transitioning how they provide care in response to this and other forces. During 2013, reimbursement will continue to challenge providers; however, their ability to respond to this pressure should be viewed as an opportunity — a way to improve care delivery and efficiency while positioning forward-thinking systems for success in this brave new world. Here are 10 major issues that will face hospitals and health systems in 2013. While some present challenges, others present significant opportunities for healthcare facilities that serve our nation. continued on page 14 11 Ways Hospitals and Health Systems Can Increase Profitability By Bob Herman For hospital executives who thought 2012 was a tough financial year, 2013 may be even more constricting. Medicare and Medicaid, two vital programs for hospital solvency, are facing monumental challenges. If President Barack Obama and leaders in Congress cannot agree to a national deficit reduction deal, Medicare will be cut by 2 percent under sequestration. For hospitals and other Medicare providers, that means roughly $11.1 billion will be slashed from their collective coffers in 2013, and they stand to lose $120 billion over the next decade. Although Medicaid will expand in 2014, leading to new potential revenue that would otherwise be considered uncompensated care, next year will be yet another stop-gap year in which hospitals and health systems grapple with their state's Medicaid funding issues. Commercial payors, which continued on page 18 REGISTER TODAY! Becker's Hospital Review Annual Meeting CEO Strategy, ACOs, Physician-Hospital Integration, Improving Profits and Key Specialties Co-Chaired by Chuck Lauer and Scott Becker May 9-11, 2013; Chicago Westin Michigan Avenue, Chicago For more information and to register, visit: www.beckershospitalreview.com/4th-annualbeckers-hospital-review-meeting.html