Flexibility and Accountability: Chief Executives on Evolving Clinical Strategies

The chief executive officers who participated in our annual invitation-only HealthLeaders Media CEO Exchange at The Boca Raton Beach Resort last November shared a renewed willingness to explore new and creative partnerships with their physicians that advance the goals of the health system. Among those goals is a higher degree of accountability for physician performance.

Strategies are still largely dictated by the physician micro-market, where some cities may have a physician culture and history of independence, while others are more comfortable in employment arrangements or closer clinical integration. The CEOs who gathered in multiple sessions agreed that there is no single strategy that can be deployed across markets with universal success, and a key to leadership is knowing the risk tolerance of your physicians. Push too hard toward clinical integration and physicians may revolt, but staying too far behind the movement to value-based healthcare could leave the health system, and its physicians, competitively vulnerable in an evolving market.

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