Issue link: https://beckershealthcare.uberflip.com/i/1405817
24 POPULATION HEALTH 24 CEO / STRATEGY The 7 highest-paid health system CEOs By Hannah Mitchell A CEO at an average S&P 500 com- pany made 299 times the salary of their average employee, ac- cording to AFL-CIO's annual executive compensation report. On average, executives received $15.5 mil- lion in total compensation during 2020, an increase of $260,000 annually over the last decade. Simultaneously, the average worker made $43,512 in 2020, just $957 more annu- ally in the last decade. For healthcare, CEO pay to average worker pay was 253:1 in 2020. e firm ranked the highest-paid CEOs in the S&P 500 and Rusell 3,000 in 2020. e highest-paid healthcare executive was listed as Amir Rubin from 1Life Healthcare, do- ing business as One Medical. He reportedly earned $199,053,051 last year. However, the company told Becker's that Mr. Rubin's sala- ry was $1.6 million in 2020, and the rest of the reported earnings is through a perfor- mance-based equity grant. Here are the highest-paid CEOs at publicly traded health systems: 1. HCA Healthcare (Nashville, Tenn.) CEO: Samuel Hazen Pay: $30,397,771 Pay ratio: 556:1 2. Tenet Healthcare (Dallas) Former CEO: Ronald Rittenmeyer Pay: $16,675,529 Pay ratio: 306:1 3. Universal Health Services (King of Prussia, Pa.) CEO: Alan Miller Pay: $13,246,214 Pay ratio: 305:1 4. Community Health Systems (Franklin, Tenn.) Former CEO: Wayne Smith Pay: $9,066,419 Pay ratio: 161:1 5. Encompass Health (Birmingham, Ala.) CEO: Mark Tarr Pay: $6,925,024 Pay ratio: 157:1 6. Acadia Healthcare (Franklin, Tenn.) CEO: Debra Osteen Pay: $5,131,395 Pay ratio: 188:1 7. National Healthcare (Murfreesboro, Tenn.) CEO: Stephen Flatt Pay: $1,278,366 Pay ratio: 40:1 n Biden zeros in on healthcare competition in executive order: 10 notes By Morgan Haefner P resident Joe Biden signed an executive order July 9 that addresses competition among hospitals, health insurers, prescription drugmakers and hearing aid manufacturers. While goals of the 72-initiative executive order stretch across economic sectors, healthcare is one of the main markets in which the president wants to discourage consolidation. Ten things to know: 1. Under the order, the Department of Justice and Federal Trade Commission are encouraged to "vigorously" enforce antitrust laws, even on past mergers that previous adminis- trations haven't challenged. 2. Enforcement of antitrust laws should focus specifically on healthcare. The executive order has four focus areas in healthcare: hospitals, health insurers, prescription drugs and hearing aids. Hospitals 3. The executive order calls on the Justice Department and FTC to review and revise their guidelines on hospital merg- ers to limit harm to patients. "Thanks to unchecked mergers, the ten largest healthcare systems now control a quarter of the market," the executive order said, pointing to the closure of rural hospitals as par- ticularly concerning. 4. The order also directs HHS to support hospital price transparency rules and implement surprise hospital bill- ing legislation. Health insurance 5. President Biden directed HHS to standardize plan op- tions in the national health insurance marketplace, which he said are too complicated and make it hard for people to choose a health plan. Prescription drugs 6. The order directs the FDA to work with states and tribal programs to import prescription drugs from Canada. 7. It also calls on HHS to increase support for generic and biosimilar drugs and to create a plan within 45 days to ad- dress high drug prices and price gouging. 8. The order asks the FTC to ban "pay for delay" agree- ments, under which brand-name drugmakers pay generic drugmakers to stay out of a market. Hearing aids 9. The order would allow hearing aids to be sold over the counter and asks HHS to issue a rule on the matter within 120 days. Noncompete clauses 10. The order also seeks a ban or limitation on noncompete clauses and some licensing requirements for workers. n