Roulston Research Healthcare Roundtable with Former HCA and Current Cleveland Clinic Executives

September 24, 2012

Our September 14th Healthcare Roundtable led by Carol Harding, Executive Director, Strategic Partnerships, Cleveland Clinic Health System, Former Vice President of Reimbursement, Edwards LifeSciences, who has been in the healthcare industry for nearly 30 years and Bill Greenfield, Managing Partner at Novation Healthcare Solutions, Former Regional Vice-President at HCA, who has 25 years of experience as a healthcare executive focused on EMR/EHR vendors and adoption, Revenue Cycle Management companies and the competitive landscape, Clinical Decision Making vendors and software for achieving cost effective, high quality care, and healthcare reimbursement under the healthcare reform model. The roundtable began by discussing more general issues focusing on comparing the healthcare industry with the cheesecake factory, conflux clinical issues, market segment, primary care position and healthcare reforms models. The speakers explained how the primary care position is being incentivised and in the healthcare reforms, there should be a dynamic shift from volume to quality care perspective. The models focus on aspects that would improve outcomes, increase efficiencies and lower costs for healthcare providers.

The roundtable later focused on more reforms facing the industry and highlighted certain topics such as; moving the volume to quality standards, incentivise people differently, changing the payment system, Group Purchasing Organizations and the competitive landscape, Devices, the future of outpatient centers, supply chain innovation, differences in policy models by region, market segmentation, culture change and cost shifting. Carol and Bill touched on these topics by referencing companies such as HealthStream, Vital Health Premiere, J&J, Athenahealth, Allscripts, HCA, UnitedHealth Group, WellPoint, Universal Health Services, Aetna, McKesson, Humana, AmerisourceBergen, Cardinal Health, and Community Health Systems among others. The industry still awaits a government spending cap announcement regarding limits for different healthcare situations. This announcement affects cost structure and payment reforms of companies moving forward.

If you would like to follow-up with either presenter for a 1 on 1 consultation please contact Tom Roulston at

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