"There's no other answer than the government is to blame for where we are today," says Pumpian, whose system includes four acute care hospitals, three specialty hospitals, two affiliated medical groups, and a health plan.
"The government is always politically prudent, but that doesn't always bring about the most cost-effective or efficient results. Look at the accountable care regulations; healthcare providers had to push hard just to make it so the patients would be aware that they would be participating in one of these models. Or look at the paper reduction act, which tripled our paperwork," she adds.
Interestingly, while healthcare leaders point to the government and health plans as getting the industry to its current state, most survey respondents feel certain it won't be either who ultimately correct the industry's problems. Twenty-two percent of all respondents and 24% of finance leaders believe it will be the hospitals that save healthcare.
"Hospitals have the deepest pockets and those are the ones that have the ability to effect change," says Pumpian. "Now that a lot of hospitals are hiring physicians and the delivery networks are being significantly streamlined … institutions will have to become all things to all people."