October 2025 in review: Shutdown stalls virtual care as ACA premiums jump
October 2025 recap: shutdown halts Medicare telehealth and hospital at home, ACA premiums climb about 26%, Q3 hospital M&A rebounds, 2026 PFS finalized.
October 2025 recap: shutdown halts Medicare telehealth and hospital at home, ACA premiums climb about 26%, Q3 hospital M&A rebounds, 2026 PFS finalized.
September 2025 recap for hospital leaders: shutdown deadline, ACA subsidy cliff, $50B rural health fund opens, and a $100,000 H-1B fee.
August 2025: Hospitals pushed back on a 340B rebate pilot, a court approved the $2.8B BCBS provider settlement, and Epic detailed its AI roadmap.
July 2025: The One Big Beautiful Bill Act became law, CMS proposed 2026 outpatient and physician rates, and finalized a 2.6% inpatient update.
June 2025: The Senate tightened Medicaid provider tax limits, Medicare's trust fund date moved to 2033, and CMS took on prior authorization.
May 2025: The House passed deep Medicaid cuts by one vote, CMS expanded Medicare Advantage audits, and a ransomware attack hit Kettering Health.
Hospital CEOs face converging pressures across strategy, workforce, finance, technology, trust, and stakeholder expectations. This executive brief outlines the leadership priorities required for organizational resilience.
2026 executive update · Clinical AI implementation · Leadership action From Concept to Clinic: Making Artificial Intelligence Work for Nurses and Physicians In 2026, nurses and physicians may encounter AI in imaging, documentation, risk prediction, clinical decision support, staffing, and patient communication.…
2026 executive update · Health equity execution · Leadership action Operationalizing Health Equity in 2025: Strategies for Hospital Leadership Health equity strategy needs a 2026 reset. CMS removed the Hospital Commitment to Health Equity, Screening for Social Drivers of Health, and Screen…
2026 executive update · Hospital crisis leadership · Leadership action Hospital Leadership in Crisis: What Every CEO Must Do in 2025 Hospital leadership is not facing one crisis. It is facing a convergence of confidence, capacity, affordability, technology, workforce, and governance pressures.…
2026 executive update · Healthcare megatrends · Leadership action Healthcare Megatrends 2025: What Every Executive Must Prepare For Healthcare executives do not need another list of disconnected predictions. They need a way to decide which external signals change capital, workforce, clinical, technology,…
2026 executive update · Nurse wellness strategy · Leadership action Wellness as a Strategic Imperative: Nurse Leadership in 2025 Nurse wellness is not a benefits program. It is an operating condition that affects clinical reliability, staffing capacity, patient experience, and financial performance.…
A practical executive agenda for hospital and health system leaders, four times a year.