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By effectively putting strategy into action, hospitals and healthcare systems can thrive amid today’s financial and operational challenges and position themselves to confront the looming threats that are just around the corner.

The challenges that hospitals and health systems currently face are amplifying this complexity, from uncertainty about potential changes to federal healthcare policy—including Medicaid and NIH funding cuts and tariffs—inflation, and ongoing workforce challenges.

The hospital and health system leaders we work with are extremely concerned about the financial impact their organizations may experience from potentially significant Medicaid policy changes, following the recent passage of a budget resolution by the U.S. House of Representatives.

A conversation with Rich Liekweg, CEO of BJC Health System in Missouri, and Nick Barto, president of BJC Health System

It has been an incredibly busy and exciting year for our Strategy & Business Transformation practice at Kaufman Hall. In 2024, we observed hospitals and health systems take steps to reinvigorate their strategic efforts amid a stabilizing, but still challenging, outlook.

Health systems are faced with two conflicting realities. The first is that partnerships will continue to be a necessary and critical part of healthcare strategy. The second is that antitrust enforcement will continue to create strong barriers to these same partnerships.

Any way you look at it, America’s four-year private colleges and universities are in a very tough financial and strategic position. For the 2020-2021 academic year, the average...

A university explores partnerships as a middle ground between its current state and a cost reduction effort that would eliminate programs and services.

Look beyond universities to a wider community of partners that can help build and sustain relevant and engaging adult learning programs.