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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.

As advanced practice providers represent a growing percentage of the clinical workforce, health systems must ensure that APPs are being deployed in ways that enable the physicians they work with to operate at the top of their potential.

Two out of every five healthcare providers—just over 40%—in the United States are now non-physician, advanced practice providers.

Hospitals continue to lose significant money on employing physicians, and the original goals of care coordination and efficiency haven't materialized. Rising costs, declining reimbursement advantages, overutilization of low-margin services and administrative burdens are factors behind these unsustainable losses.

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.

This week’s graphic dives into a growing challenge facing health systems’ physician enterprises.

As organizations increasingly adopt a service line planning model, integrated strategic financial planning is more critical than ever.

A judge orders a partial, preliminary injunction of the FTC’s noncompete ban, Sanford Health and Marshfield Clinic announce plans to combine, and CMS proposes a nearly 3% cut to Medicare physician pay for 2025.

Using the latest data forecast from Sg2, a Vizient company, the graphic below illustrates how the outpatient shift will continue to accelerate through 2034.

Artificial intelligence can provide the tool necessary to untangle complex healthcare agreements and contracts. In academic healthcare, this can support efforts to restore a funds flow model to what has been legally agreed to or negotiate a new funds flow agreement.