
Publications

Assessing Independence & Strategic Options for Higher Education Institutions
This article offers board members and executive teams of universities and colleges guidance in weighing alternatives to best position their organizations for future success. As the landscape of higher education...
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Toxic Individualism and Its Impact on Our Healthcare System
COVID-19 exposed competing forces within the missions of many standalone hospital systems. These forces include a rugged American individualism on one hand and the desire to efficiently meet the healthcare...
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Post-Pandemic Provider Realignment 2.0: If the Past Year Taught Us Anything
By Jordan Shields, Partner, Juniper Advisory, and Brian Fuller, Principal, PYA Calling 2020 a challenging year for the country as a whole and for providers in particular would be a...
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The Intersection of Mission and Margin in Behavioral Healthcare
As behavioral healthcare has transformed from a nascent local patchwork of services to one of our country’s leading industries, many providers hold steadfast to their missions that have roots going...
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What Will a Biden Presidency Mean for U.S. Healthcare?
Key Takeaways A split Senate limits legislation to what can pass through budget reconciliation and gain support of all 50 Democrats Anticipate Biden to expand Obamacare and Medicare instead of introducing...
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What if Trader Joe’s Ran Hospitals?
In 2018, Freakonomics co-author Stephen Dubner posed the question: “Should America be run by Trader Joe’s?” He suggested “the quirky little grocery chain with California roots and German ownership has...
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The Looming Deadline: Repayment of COVID-19 AAP Loans
CMS’ Accelerated and Advance Payment (AAP) Program has been a lifeline for healthcare providers during the COVID-19 pandemic which loaned hospitals and others $100B. Repayment of these loans begins August...
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What Happens When CMS Loans Come Due?
CMS’ Accelerated and Advance Payment (AAP) Program has been a lifeline for healthcare providers during the COVID-19 pandemic. The program, which historically supported hospitals during localized natural disasters, was dramatically...
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Evaluating Opportunities for Government-Sponsored Hospitals
The COVID-19 pandemic is straining hospital and governmental resources. It is also serving as a catalyst for a major evolution of our nation’s healthcare delivery system, the likes of which...
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Dealmaking in the Sunlight: Navigating Public Hospital M&A
Public hospitals have a uniquely open relationship to the communities they serve, which invites a level of transparency as they consider potential mergers and acquisitions. So what kind of M&A...
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Assessing Hospital Preparedness for COVID-19 by Affiliation Status
Overview System hospitals tend to have more ICU beds, higher case mix indices and are more likely to be a part of physician integration networks compared to like-sized standalone hospitals....
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Provider Realignment Post-Pandemic
The COVID-19 crisis exposed the high cost of fragmentation within the healthcare industry and will serve as the seminal event that ushers in an era of greater provider integration and...
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