MedAssets conducted the poll at its 2014 Healthcare Executive Forum, held Jan. 30 to Feb. 1, 2014 in Scottsdale, Ariz. Findings are based on responses from 150 hospital and health system executives in attendance.
• 55 percent of attendees reported a decline in operating margins year over year in fiscal year 2013, opposed to 26 percent in fiscal year 2012. The top reasons for the dip were attributed to shift in payer mix and reimbursement reduction.
• Nearly 60 percent of respondents cited they are experiencing declining Medicare reimbursements, managing the impacts of Medicaid expansion and state exchange enrollment, experiencing increased pressure from private payers and seeing more regional competition.
• 71 percent of attendees said clarity of strategy and execution was critical for successful organizational transformation.
• 89 percent of attendees — up from 63 percent in 2013 — reported their health systems will acquire and engage in non-hospital growth strategies over the next two years.
• 43 percent of attendees thought having a high-quality, clinically integrated organization is the most successful growth strategy versus solely a strong geographical footprint.
• 59 percent of attendees indicated that physician groups have been the most important partner over the past three to five years, and 48 percent of attendees are confident this will remain the same in the next five years.
• 34 percent of attendees, however, indicated insurance companies will emerge as the most important partner.
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At Becker's 4th Annual CEO + CFO Roundtable, taking place November 2–5 in Chicago, more than 1,500 hospital and health system executives tackle decisions that determine whether organizations thrive or merely survive: protecting margins under cost pressure, choosing where to grow, renegotiating payer relationships, stabilizing the workforce and proving real ROI on technology. This is where leaders work through them together, face-to-face. Apply for complimentary registration now.