Cleveland Clinic’s Toby Cosgrove to step down, search begins for new president and CEO

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Cosgrove_At_State_Of_The_Clinic(Credit:Stephen_Travarca/Cleveland_Clinic)

One of the country’s most influential healthcare leaders plans to hang up his hat later this year.

Toby Cosgrove, M.D., who has served as president and CEO of the Cleveland Clinic for nearly 13 years, announced this morning he intends to step down. He will continue serving as an adviser for the multispecialty academic hospital.

The organization will begin the search for his successor immediately. In keeping with its model as a physician-led institution, the new president and CEO will also be a practicing physician.

Cosgrove was a cardiac surgeon for nearly 30 years before becoming CEO of Cleveland Clinic in 2004. Since then, he has led initiatives that have gained international and national recognition, particularly his focus on improving the patient experience and reorganizing clinical services into a patient-centered care model.

Cosgrove coined the phrase “Patients First” at the institution and was the first to hire a chief patient experience officer, a position that is now a fixture in many hospitals across the country. He also has implemented same-day medical appointments for patients who request them.

“It is an honor and a privilege to be a part of an extraordinary and forward-thinking organization that puts patients at the center of everything we do,” Cosgrove said in an announcement. “Cleveland Clinic’s world-class reputation of clinical excellence, innovation, medical education and research was created and will be maintained by the truly dedicated caregivers who work tirelessly to provide the best care to our patients.”

Under his direction, the Cleveland Clinic has grown into an $8 billion health system with locations in Ohio, Florida, Nevada, Canada and Abu Dhabi. It also will open a facility in London in 2020. The organization is Ohio’s largest employer with more than 50,000 caregivers.

Cleveland Clinic is also a leader in patient care. It was ranked No. 2 in the nation last year by U.S. News & World Report, which also ranked its heart program as No. 1 in America for 10 years in a row.

“The goal of any leader is to leave an institution better than you found it. Without a doubt, Toby has done that,” Cleveland Clinic Board of Directors Chairman Bob Rich said in the announcement. “Our world-class reputation has only grown over the past 13 years, as he has led Cleveland Clinic through a period of dramatic growth and worldwide expansion.”

In recent years, Fortune has also named Cleveland Clinic one of the best workplaces in healthcare. During his tenure, Cosgrove has led major wellness initiatives for both patients and employees, banning smoking on all campuses, adopting a policy not to hire smokers, offering employees free memberships to Weight Watchers and gyms, eliminating fried foods from the hospital cafeteria, opening weekly farmer’s markets in the summer and fall and creating an employee health insurance program that offers discounts for physical activity or for enrollment in a disease management program.

He was a frontrunner twice to serve as the secretary of the Department of Veteran Affairs, most recently as President Trump’s pick to oversee the embattled agency. But he had to turn down the position because he couldn’t get out of his commitment to the Cleveland Clinic.

GOP struggles to find ObamaCare repeal votes

GOP struggles to find ObamaCare repeal votes

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The Republican bill to repeal and replace ObamaCare appears to lack sufficient votes to pass the House, despite hopes from GOP leaders and the White House that it might be approved by the lower chamber this week.

According to The Hill’s whip list, 22 Republicans oppose the bill — the maximum number of GOP defections that can be afforded — assuming every Democrat also votes against it.

The latest Republican to announce his opposition is Rep. Billy Long (Mo.), a staunch conservative who often says he was “Tea Party before Tea Party was cool.”

He told The Hill he wouldn’t support the bill because of the impact it could have on people with preexisting conditions.

“I have always stated that one of the few good things about ObamaCare is that people with pre-existing conditions would be covered,” Long said in a statement to The Hill.

“The MacArthur amendment strips away any guarantee that pre-existing conditions would be covered and affordable.”

An amendment authored by Rep. Tom MacArthur (R-N.J.) would allow states to apply for waivers to two ObamaCare provisions: essential health benefits, which mandates what services insurers must cover, and “community rating,” which essentially bans insurers from charging people with preexisting conditions more for coverage.

While the AHCA keeps an ObamaCare provision banning insurers from denying coverage to people with preexisting conditions, allowing states to waiver out of community rating means insurers could charge sick people more.

States that get that waiver would have to have a high-risk pool as a backstop for people priced out of coverage. But those pools, in the past, have seen waiting lists, high premiums and other issues.

The Hill’s whip list includes some Republicans who were ready to vote for the bill before changes made the language backed by MacArthur and Rep. Mark Meadows (R-N.C.), the Freedom Caucus chairman.

They include Reps. Adam Kinzinger (Ill.) and Fred Upton (Mich.).

Rep. Mike Coffman (R-Colo.) went from being a yes on the bill to a no.

And four members of the GOP Whip team, Reps. David Valadao (Calif.), Erik Paulsen (Minn.), Elise Stefanik (N.Y.) and Kevin YoderKevin YoderGOP struggles to find ObamaCare repeal votesThe Hill’s Whip List: 22 GOP no votes on new ObamaCare replacement billGOP faces backlash over attack on internet privacy rulesMORE (Kansas) are undecided on the bill.

Rep. Kathleen Rice (D-N.Y.) told CNN that she’s talked to centrist Republicans who say they won’t back the bill because they don’t like it, and because they don’t think it will be approved by the Senate even if it does pass the House.

“They’re being asked to walk the plank on a bill they know won’t survive,” she said.

In another bad sign for the GOP’s whip count, Appropriations Committee Chairman Rep. Rodney FrelinghuysenRodney FrelinghuysenGOP struggles to find ObamaCare repeal votesHouse passes bill to avoid shutdownOvernight Finance: Dems explore lawsuit against Trump | Full-court press for Trump tax plan | Clock ticks down to spending deadlineMORE (R-N.J.) on Monday refused to say if it had his support.

Frelinghuysen came out against the bill shortly before it was pulled from the floor last month and told reporters Monday he was “still looking” at the changes.

“I’m focusing on the appropriations bill for 2017, so that’s my focus,” he said.

“My position is that I’m focused on the appropriations process, trying to get the bill across the finish line. I haven’t been focused on anything else.”

Although Vice President Pence was on Capitol Hill on Monday seeking to sway Republicans, the White House acknowledged the GOP’s American Health Care Act doesn’t yet have the support to pass and wouldn’t put a timeline on a vote.

“We’re getting closer and closer every day, but we’re not there yet,” Spicer said when asked if there are enough votes in the House to put a bill on the floor.

A few Republicans are saying that a vote could be held this week.

Rep. Joe Barton (R-Texas), who is in the conservative Freedom Caucus and is also a member of the GOP whip team, said the legislation has the votes to pass by a slim margin because the latest changes had moved some moderates from no to yes.

He said a vote would “probably” happen this week and suggested that some lawmakers could be strong-armed into backing the new bill, as they would “rather be a no vote but if it needs their vote to pass then they’ll support it.”

He said he is not privy to the official whip count but has “knowledge of individual votes that I’ve talked to plus a general feel for the way the House is.”

Barton offered no names, however, and Rep. Charlie Dent (R-Pa.), co-chairman of the moderate Tuesday Group, said Friday the amendment didn’t move any moderates from ‘no’ to ‘yes.’

“I’m not aware of any members of the Tuesday Group who were a ‘no’ and became a ‘yes’ because of it,” he said.

“I suspect there were some who were maybe inclined to move in the other direction, either to undecided or a no. So, they didn’t pick up anybody from our group.”

If a bill is not approved by the House this week, it will significantly reduce the chances of ObamaCare repeal being approved at all. The House will go on recess next week, and lawmakers are moving on to tax reform and spending bills for next year.