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Nathan Kaufman California
Nathan Kaufman

Nathan Kaufman is Managing Director and founder of Kaufman Strategic Advisors, LLC, an established San Diego-based consulting company. With over 40 years of experience as a strategist, executive and negotiator. Nate is considered one of the nation's healthcare industry experts.

He is a strategic advisor to healthcare executives, boards, physician groups and other healthcare companies. He is known for his practical advice focusing on succeeding in the new post-ACA, MACRA, value-based risk environment.

In addition he is a seasoned negotiator and has successfully completed hundreds of transactions involving payer contracts, physician compensation, service line development, acquisition/sale of surgicenters and imaging centers, restructuring employed physician groups, and developing clinically integrated networks. This provides Nate with a unique viewpoint since he not only studies industry trends but operates in the 'trenches' which provides him with a deep understanding of the physicians' perspective.

Throughout his career, he has held executive positions in a wide range of healthcare companies, including President and Chief Operating Officer of an imaging center company. He was listed in Modern Healthcare's inaugural 'Class of '87' Up & Comers Yearbook, and "20 years of Rising Young Healthcare Management Talent Class of 87-06," published Sept. 17, 2007. He currently serves on various advisory and editorial boards; was Executive in Residence and HSI Advisory Board member at Georgia Tech Health Systems Institute. His educational credentials include an M.S. in Health Systems from the Georgia Institute of Technology and a B.Sc. in Psychology from Emory University in Atlanta, Georgia.

Among the clients benefiting from Mr. Kaufman's keen consulting acumen and flair for healthcare service integration are such providers and physician groups as investor-owned and not-for-profit multihospital systems; prestigious dominant medical centers; general medical/surgical hospitals; primary care physicians and specialists; IPAs; national imaging and surgicenter companies; major diagnostic equipment companies; large radiology groups; cardiology groups, medical staff groups; managed care companies and national and state healthcare associations.

Mr. Kaufman is a noted consultant, lecturer and author on topics related to strategies achieving peak performance, managed care, clinical integration, population health, hospital-physician transactions, and joint ventures. He regularly speaks on these topics and others for numerous health system organizations and healthcare associations throughout the country.

Mr. Kaufman was a lead faculty member for the American College of Healthcare Executives (ACHE), for which he has developed the following courses: The Art and Science of Competitive Strategy; Advanced Managed Care and Integration Strategies; Restructuring Integration: Essential Strategies for the New Millennium; and Lessons Learned: Innovative Strategies for Achieving Competitive Advantage.

In addition, he holds executive education retreats and presented at over 95 major conferences and hospital associations in 2014 as keynote speaker, such as the American Hospital Association. Mr. Kaufman wrote the chapters on physician-hospital engagement and clinical integration for the 2011 and 2012 issues of the ACHE publication Futurescan as well as numerous articles published by Trustee Magazine.


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  • Positioning Your Organization to be a Winner in the Post-Disruption Healthcare World - Health systems are experiencing significant margin pressure as a result of declining reimbursement increases from commercial payers, increasing expense inflation, slowing inpatient demand and increasing percent of government payments. Moody's notes that recent merger and acquisition activity has done little to mitigate this problem. The nation has little to show for almost a decade of investment in innovative concepts such as value-based care, population health, pay-for-performance, direct contracting, narrow networks, and provider-based health plans other than record profits for in the insurance industry and record low margins for health systems. Health systems must invest in the development of new, innovative competencies; however, when a health system shifts its strategic focus disproportionately to "doing what's new," and/or implements strategies without the associated competencies, there will be a significant degradation in financial performance, which in some cases is irreparable.

    Moody's predicts that "significantly higher healthcare spending in the United States will continue a damaging ripple effect across the economy, crunching public sector budgets and those of businesses and households as well." Clearly, the nation's health system is on an unsustainable economic course and disruption is inevitable. There will be winners and losers in the post-disruption healthcare world much like there was after the housing bubble. It is critical that health systems position themselves to be one of the winners.

    Most health systems have invested hundreds of millions (if not billions) of dollars in facilities, equipment, and highly specialized manpower, and must ensure that their strategic focus optimizes the financial performance of their capital-intensive inpatient and outpatient services. Health systems cannot just abandon their capital structure and emulate Google as many industry pundits suggest. Mr. Kaufman's consulting practice is about partnering with his clients to produce results (vs. sitting on the sidelines and sharing theories.) In recent years he successfully negotiated managed care contracts, lead negotiations on multiple ambulatory joint ventures, structured state-of-the-art orthopedic co-management relationships and participated in physician group acquisitions, all of which increased market share and improved financial performance, thus positioning his clients for success. This presentation provides practical recommendations to ensure an organization's short and long-term success during these turbulent times.

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