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Hospital for Special Surgery CEO Louis Shapiro On Making Healthcare More Accessible

Chief Executive caught up with Lou Shapiro, CEO of the Hospital for Special Surgery, to talk about the organization’s employee engagement initiative, on making healthcare more accessible and more.

Better, better, better. It’s not bigger, it’s better. So that’s two. Three, how do we make HSS accessible to the world?  We’re sitting here, the largest musculoskeletal institute in the world, we have figured out how to be the leader, not only the largest, but also the leader. And then we have all this knowledge about how to take care of one of the biggest health issues out there. If you go to a large employer, musculoskeletal is probably their first or second largest spend. It’s probably the fastest growing spend in their healthcare portfolio. And among others disease categories, there’s probably more variability and opportunities for improvement. It is not fair for people not to be able to come here. Now the problem is we can’t be everywhere and let everyone get on a plane and come here. We grow as much as we can in a way that doesn’t dilute the brand. We’re growing throughout the Tri-State area; we’re growing where we sit right now. We’re going to have a new building for people to drive under soon.

So, more people want to come here, right. For care. It’s hard to grow in New York. So yeah. And so that’s one thing. And then we probably have seven or eight locations that are under construction right now throughout the Tri-State area and beyond. Midtown, West Side, Hudson Yards, Brooklyn, Long island, Queens, Connecticut, Florida. We want to deliver care close to where people live. We have a relationship [with a provider] in Aspen, Colorado. We have things that we are doing in other parts of the world as well.

Talk to me about HSS’ partnership with employers?

About six years ago, we had a board retreat. Usually our roadmap gets validated at the board retreat we have every couple of years. What came out of that board retreat is we need to do a better job of articulating our value proposition to consumers, insurers and employers. And what was born out of that was to focus on employers. So today we have relationships with probably 30 large employers that may have a New York base, but also are national or international.

Some of those relationships are super strong and some of those are developing and we have others in the pipeline. And those relationships include a variety of different services, including facilitated access. How do we make sure that our workforce has access to [HSS] in an efficient manner? In some cases that includes education on how to maintain and protect their musculoskeletal health. In some cases that includes providing services on site at those employers, particularly physician services and Rehab. And we do that for many employers in many locations throughout the Tri-State area. And then in some cases, it includes health care services. We may have a bundle with them, which is sort of a traditional reimbursement relationship.

Healthcare these days is focused on lowering the cost of care for patients. As the CEO of the Hospital for Special Surgery, you are at the center of this. How do you deal with these realities?

I would say that’s why the third thing is make HSS more accessible. If we could wave a magic wand and replicate this across the country, we would save the country. It would save billions of dollars. I don’t work in government. I don’t work in Washington. It’s not my job, but my job is to take HSS and don’t mess it up, make it better, make it work, more accessible. By making it more accessible, we’re filling an obligation to make our contribution to fixing our portion of healthcare.

Read more: Henry Schein CEO: Keep Humanity At The Core of Healthcare


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