Deloitte has a free service where they send out information on Health Care issues.  Great resource and analysis...
I recommend subscribing to their emails and keeping up to date!  Interesting article below....

Deloitte Center for Health Solutions....
http://www.deloitte.com/view/en_US/us/Insights/centers/center-for-health-solutions/28714218f4f08310VgnVCM2000001b56f00aRCRD.htm?id=email_lshc_alookaroundthecorner_07122012
Healthcare CEOs perspective on the future

Hospital and health system CEOs are under enormous pressure to transform their organizations from acute-centric care facilities into cost-effective managers of care across the preventive, chronic, acute, and long-term continuum. Surviving and thriving in this "new normal" represent the biggest test thus far in many CEOs' professional careers.

A Look around the corner: Healthcare CEOs perspective on the future, presents the results of Deloitte's interviews with 24 CEOs of acute-sector hospitals and multi-hospital health systems, looking at the short-term and long-term future.

Among the report's key findings:

• Health system CEOs are guardedly optimistic that their organizations will survive and thrive in the future, but anticipate that necessary changes may challenge their leadership.
• Areas demanding CEO attention include cost structure sustainability, board readiness, and strategic investments in HIT and clinical program innovation.
• CEOs say their major challenges are primarily internal and include workforce training and development, IT integration, clinical services upgrades and expansions, physician alignment, and cost reduction.
• CEOs are not fixated on health care reform; they understand it but are more concerned with market and fiscal pressures at the state and federal levels.
• Market pressures are significant. Concerns include traditional and nontraditional competition; risk-based contracting; health care reform; state Medicaid payments, scheduled Medicare cuts, and pressure from consumers.
• CEOs believe that merger/consolidation in the delivery system and new models for physician engagement are necessary changes. Also, HIT investments are "table stakes" that may defer capital investments in other areas of opportunity.