"I do like the idea of someone coming in who has what seems to be maybe more experience in running large organizations, and we'll see if things go a little more smoothly in the future," says Lyle Berkowitz, associate chief medical officer of innovation at Northwestern Memorial Hospital in Chicago.
"At this point we can't do everything," Berkowitz says. "They've reached the sort of saturation point of change, and we have done a ton. We've set the groundwork to do a lot, but there's only so much we can do, particularly as reimbursements are going down."
The next HHS secretary has to "step in and evaluate all the programs, figure out where to focus, and listen and understand what people are doing, and then move forward and do it better than we ever have in the past," Berkowitz says. "That's certainly my hope for any new people coming into the system."