Are you up for a Challenge?
By John D. Laslavic, LPBC
Working for The Hospital Council of Western Pennsylvania for 18 years beginning in 1981 and with other providers over the last 30 years, I have watched the health care landscape change, grow, and integrate along with the consolidation of the hospital and health care markets in Western Pennsylvania and in other markets across the United States of America. From cost reimbursement to prospective payment to the new government health care laws that were just passed by the national government—all are trying to get it right.
While some hospitals and health care organizations have been very successful financially by gaining economies of scale and adopting best practices, others have faced tremendous financial struggles. Some have joined large integrated health care delivery systems while others have remained steadfast in their desire for their community independence. Some of these moves were excellent and needed. Others were caused by bad behaviors of leaders; you may even recall (e.g. AHERF), that set in motion the opportunity for the consolidation to accelerate.