Hospital Bond Rally Undeterred by Latest Threat to End Obamacare

http://www.bloomberg.com/news/articles/2016-07-25/hospital-bond-rally-undeterred-by-latest-threat-to-end-obamacare

The $250 billion municipal hospital-bond market is proving immune to Donald Trump’s plan to eliminate Obamacare.

Sutter Health is among nonprofits tapping demand for the tax-free debt, with the California chain planning to sell $850 million in new securities this week. Health-care bonds are beating the overall $3.7 trillion municipal market for a third straight year as the federal law expanding medical coverage to Americans improves business. Despite the Republican presidential nominee’s goal, the rally has been undaunted as investors hunt for yield while rates hold near record lows.

“There’s lots of demand with all of the money pouring in,” said Mike Quinn, a managing director at Chicago-based investment bank Ziegler, which underwrites bonds for hospitals. “This is a really great environment for health-care borrowers to issue tax-exempt money.”

Top 10 Takeaways from the HealthLeaders Media CFO Exchange

http://www.healthleadersmedia.com/finance/top-10-takeaways-healthleaders-media-cfo-exchange?spMailingID=9358582&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=981233298&spReportId=OTgxMjMzMjk4S0#

Compass and Dollars

More than three dozen top healthcare finance executives share insight and strategies for tackling their toughest business challenges.

Participants at the 2017 HealthLeaders Media CFO Exchangein Coeur d’Alene, Idaho last week said they are generally optimistic about weathering the storm of regulatory changes, new payment models, and shifting market forces buffeting their organizations.

The finance executives at the invitation-only event also shared many mutual concerns such as offsetting traditional revenue-stream declines at hospitals and assessing the appetite to adopt value-based care models in their markets.

Here are 10 of the most insightful comments from the gathered finance leaders:

Hospital CEO pay soars as limitation efforts stumble

http://www.fiercehealthcare.com/healthcare/hospital-ceo-pay-soars-as-limitation-efforts-stumble?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiWWpneVlUYzNNamxqT1RZeCIsInQiOiJYa3JjTitjbjB0cW4wNnd6VDVRUTZHMUdtYUM5a0Yxd1A3bW1rQzMwU0hmMStleVhSTHBkRW5EYWEzWXRrVlwvcFwvV080QVROc1MybitpTkF1TTF4YUNobHNRT2hrRStmZHNZMktcL3MzOXZkbz0ifQ%3D%3D

Healthcare has some of the highest CEO pay growth of any industry and it shows no signs of slowing down.

In Massachusetts, hospital chief executives saw a pay bump throughout the state from 2013 to 2014, with the steepest raise of all going to Brigham and Women’s Hospital President Elizabeth Nabel, M.D., according to the Boston Business Journal.

The newspaper reports that Nabel’s total compensation soared 120 percent to $5.5 million in 2014. To put that in perspective, the publication noted that Gary Gottlieb, M.D., CEO of Brigham and Women’s parent company Partners Healthcare, and Nabel’s boss at the time, made $3.1 million. Most of Nabel’s compensation–$3.9 million–wasn’t even base salary, but rather retirement and nontaxable benefits.

Central Ohio hospital chief executives are seeing similarly big paydays, according to Columbus Business First. For example, Dave Blom, chief executive of Columbus’ OhioHealth Corp., led the region in compensation, with his base salary and performance bonuses coming to $2.64 million, with Steven Gabbe, M.D., who served as CEO of Ohio State University Wexner Medical Center January to March 2015, a distant second with $1.57 million.

The exorbitant paychecks for hospital CEOs have raised concerns among some consumer advocates, who say they hurt patients, but efforts to rein them in have had limited success.

Former Sacred Heart physician gets 2 years for role in kickback scheme

http://www.chicagotribune.com/news/ct-sacred-heart-hospital-sentencing-met-20160812-story.html

Sacred Heart sentence

Venkateswara Kuchipudi, right, walks with his lawyer Theodore Poulos outside the Dirksen U.S Courthouse on Aug. 12, 2016, after Kuchipudi was sentenced to two years in prison for his part in a fraud scheme at the now-shuttered Sacred Heart Hospital.

http://www.beckershospitalreview.com/legal-regulatory-issues/former-sacred-heart-physician-gets-2-years-for-role-in-kickback-scheme.html

 

6 thoughts on the state of healthcare from Scripps’ Chris Van Gorder

http://www.beckershospitalreview.com/hospital-management-administration/6-thoughts-on-the-state-of-healthcare-from-scripps-chris-van-gorder.html

Self-DiscoverySelf-Discovery

Faced with ever-changing rules and regulations, hospital and health system CEOs must constantly keep a pulse on the healthcare industry and be ready to alter their organizational strategy any day of the week. Chris Van Gorder, president and CEO of San Diego-based Scripps Health, talked to Becker’s Hospital Review about some of the biggest challenges and successes that are currently top of mind.

Mr. Van Gorder has led Scripps, a $2.9 billion integrated health system, since 2000. He is a fellow of the American College of Healthcare Executives and served as the 2010 chairman of the association.

His exposure to healthcare began as a hospital patient when he was critically injured while responding to a family dispute. After a long recovery, Mr. Van Gorder started a new career in hospital security, eventually rising through the ranks of healthcare management. Today, in addition to serving as Scripps’ president and CEO, he is a reserve assistant sheriff to the San Diego County Sheriff’s Department, in charge of the Law Enforcement and Search and Rescue Reserves. He also is a licensed emergency medical technician (EMT) and an instructor for the American Red Cross.

Here, Mr. Van Gorder took the time to answer our six questions.

26 latest healthcare industry lawsuits, settlements

http://www.beckershospitalreview.com/legal-regulatory-issues/26-latest-healthcare-industry-lawsuits-settlements-august15.html

 

Allina Health’s bottom line takes $20.4M hit from nurse strike

http://www.beckershospitalreview.com/finance/allina-health-s-bottom-line-takes-20-4m-hit-from-nurse-strike.html

Minneapolis-based Allina Health saw revenues increase in the first six months of 2016, but the 13-hospital health system’s operating income and net income fell in the first half of the year.

Allina revenues increased 4.1 percent year over year to nearly $2 billion in the six months ended June 30, according to bondholder documents. The financial boost was attributable to increased patient volume. Allina said inpatient admissions were up 0.5 percent and outpatient hospital admissions were up 3.1 percent in the first half of this year, compared to the same period of 2015.

The system said operating income decreased by 40 percent year over year to $54 million in the first six months of 2016. The decrease was largely due to strike expenses. Allina said it incurred $20.4 million of expenses related to the seven-day strike in June called by the Minnesota Nurses Association.

The nurses association authorized the strike after Allina nurses overwhelmingly rejected an offer by the health system that would have eliminated union-backed health insurance and moved the workers to plans that other health system employees receive. During the strike, Allina brought in 1,400 replacement nurses.

50 states of population health

http://www.beckershospitalreview.com/lists/50-states-of-population-health.html

united-states

We asked hospital executives from every state in America about their No. 1 health concern.

This generation trusts employers least: What you can do about it

http://www.beckershospitalreview.com/hospital-management-administration/this-generation-trusts-employers-least-what-you-can-do-about-it.html

 

6 tips for maximizing a CIO’s relationship with the board and C-suite

http://www.beckershospitalreview.com/hospital-management-administration/push-pull-6-tips-for-maximizing-a-cio-s-relationship-with-the-board-and-c-suite.html