View from the Top--Health Care Ceos Share Insights for 2006 and Beyond‪.‬

It was admittedly painful when Austin, Texas, CEO William Gamel, MD, gathered 10 vice presidents last fall for a 2006 budget meeting. On the table: The Centers for Medicare & Medicaid Services (CMS) asked his quality improvement organization, Texas Medical Foundation Health Quality Institute, to give up 10 percent more revenue for 30 percent more work.