Higher Thinking

Quick, timely blog posts. Thought-provoking trends. How-to guides and in-depth case studies. Use this page to explore all of our best thinking on US healthcare delivery, plus the occasional news from our firm. Find something that inspires or troubles you? Contact us any time – we’d love to be your thought partner in delivering more accessible, sustainable, and equitable healthcare. >>

Securing the Future of a County-Owned Hospital

Here’s how we helped elected leaders in one rural county secure a brighter future for the county-owned hospital.
Patricia Dowbiggin and her husband at Niagara Falls

Meet the Team: Patricia Dowbiggin

Our strategy consultant discusses her background in EMS, her burden for rural healthcare ... and her love of the outdoors.
A document reading "last will and testament" illustrates the idea that private equity is a last choice for dying hospitals. Photo by Melinda Gimpel via Unsplash.

Why Private Equity Is No Strategy for Struggling Hospitals

For providers in imminent danger of closing their doors and stopping all service, private equity might be better than nothing. But only just.
Signs on the front door informing patients that rural Martin General Hospital is closed

Ascendient Aids County After Hospital Closure (Video)

When a rural hospital was closed unexpectedly, Ascendient stepped in to find a more sustainable option for local healthcare.
abstract lighthouse watercolor

Public Health Strategic Planning: the Ascendient Guide

Where are we? Who are we? Where are we going? Those three questions are the key to public health strategic planning in a time of turmoil.
An abstract watercolor painting of the sun is the symbol of Ascendient's Healthcare Horizons series, including this installment on health equity strategy

Smart Health Devices: A Smart Business for Hospitals?

Why a hospital-based tech boutique might be a viable strategy for building enduring patient relationships and new revenue streams.
An abstract watercolor painting of the sun is the symbol of Ascendient's Healthcare Horizons series, including this installment on health equity strategy

Disruption Alert: Mayo’s Hospital at Home Program

Mayo Clinic's innovative, hub-and-spoke hospital at home program offers encouraging clinical and financial results – plus the potential for large-scale industry disruption.
An abstract watercolor painting of the sun is the symbol of Ascendient's Healthcare Horizons series, including this installment on health equity strategy

Rural Telehealth: Re-Thinking the Timeline

Rural telehealth can seem like a distant dream due to broadband access issues, but the future is here today if you simply look up.
An abstract watercolor painting of the sun is the symbol of Ascendient's Healthcare Horizons series, including this installment on health equity strategy

Hospital M&A: 3 Reasons to Know Your HHI

As regulators crack down on mergers, healthcare leaders need to defend their plans with a mix of numbers + narrative.
abstract lighthouse watercolor

Look-Alike Health Centers: the Ascendient Guide

Learn why this obscure provider type can offer financial and strategic benefits while improving care for underserved communities.
Karla Dechavez

Healthcare Consulting Partnerships: 3 Executive Testimonials

Three healthcare leaders in a variety of roles discuss Ascendient's value as a long-term partner.
A physician with arms folded, looking into the camera

Physician Alignment: Watch Out for Corporate Competitors

Corporate buyers are snapping up physician practices at a record pace. Here are 4 implications for hospitals' physician alignment strategy.
A blurred image of an ambulance suggests the theme of a Rural Emergency Hospital

Rural Emergency Hospital Questions: Just the FAQs

We have answers to the 9 biggest questions we've been hearing about Medicare's new Rural Emergency Hospital model.
A young boy with a Jenga tower illustrates the concept of strategic planning for hospitals

Strategic Planning for Hospitals: Why Worry About the Surge

Lately we've seen record interest in our strategic planning services for hospitals – and that could be a bad sign for the U.S. healthcare system.
A mobile phone displays the Amazon logo on its home screen

Healthcare Strategy: 4 Lessons from Amazon Care

If you think the end of Amazon Care represents a failure, then maybe it's time to re-examine your definition of healthcare strategy.
An abstract watercolor painting of the sun is the symbol of Ascendient's Healthcare Horizons series, including this installment on health equity strategy

Health Equity Strategy: 6 Things to Know About New CMS Rules

The Hospital IQR Program now includes rules promoting health equity. Here are 6 smart steps for getting compliant.
abstract lighthouse watercolor

The Ascendient Guide to Rural Emergency Hospitals

Is the new REH model right for you? Here's an in-depth look at some implications for finances, strategy, and mission.

Steering Two Competing Systems Toward a Population Health Center

In one rural market, we created a blueprint for cooperation rather than unsustainable competition between failing providers.
An abstract watercolor painting of the sun is the symbol of Ascendient's Healthcare Horizons series, including this installment on health equity strategy

Healthcare Strategic Planning: Forget the 5 Pillars

How is strategic planning different from operational excellence? Think bucket lists, fingerprints, and barometers.
Stylized skyscrapers form a bar chart, illustrating the concept of public health strategic planning

Public Health Strategic Planning: Don’t Skimp on the SWOT

A good SWOT analysis is foundational to public health strategic planning. Here's a step-by-step guide for doing it right.