Participants in the CEO roundtable discussed the following questions:

• What types of preparations has your organization taken or is considering to address lower reimbursements or new payment schemes (e.g., bundled payments)? For example, have you: modeled the impact of a Medicare rate for all patients? Cut back capital spending? Accelerated alignment efforts with doctors? Considered/begun mergers/alliances? Developed new delivery models for primary care? For some specialty services?
• What resistance have you incurred or do you anticipate?
• If Congress does not enact major reforms, what do you think will happen at your state and local market level?
• What sort of feedback have you received from community leaders about the possible impact of healthcare reform?
• In what way will your hospital/system be different next year compared to now?