The Academy Lumeris Strategic Tracking Survey: Q2 2018 Special Topic - Assessing Disruption

Key Findings

  1. Health system executives anticipate that vertical integration, technology, and entry of non-traditional players are the recent disruptive trends that will have the most significant impact on the healthcare landscape.
  2. The majority (69%) of responding health systems indicated that they expect to see the number of provider-owned health plans to increase over the next 5 years.
  3. Over half (57%) of health system executives reported that specialty pharmaceutical costs were disruptive to their organization’s budget.


Over the last year, the healthcare industry has been a breeding ground for disruptive trends. Between changing consumer demands, vertical integration (e.g., CVS-Aetna), employer activism (e.g., Amazon-Berkshire Hathaway-JP Morgan Chase), new entrants (e.g., Google, Amazon), and new technology (e.g., AI, Blockchain), it has become difficult to differentiate the noise from substance. As these trends transform the healthcare industry, Leading Health Systems (LHS) are implementing strategies to capitalize on this changing environment.

In Q4 2017, The Health Management Academy (The Academy) highlighted healthcare disruption in its quarterly Strategic Survey, focusing on defining disruption. In this report (Q2 2018), The Academy revisits the topic of disruption in healthcare to understand LHS executives’ perspectives on the impact of current disruptive trends, as well as the associated challenges and opportunities for LHS.


In June 2018, The Academy conducted the fifteenth round of phone interviews for its quarterly strategic survey among 16 senior Leading Health System executives, including: CEOs, COOs, CFOs, CMOs, CNOs, and CSOs.

The survey for the interview consisted of:

  1. A tracking section that provides insight into trends around primary strategic areas; and
  2. A special topic area that allows for an in-depth look into a timely, developing issue.

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