Matthew Holt

Interview with Paul Taylor, renegade hospital CEO

Paul Taylor is CEO of Ozarks Community Hospital, a teeny 2 hospital system catering to the poor and senior populations in rural Missouri and Arkansas. He thinks that he’s figured out a way to deliver health care at government rates and is incensed that every other hospital claims it can’t make it on what Medicare pays. (That’s they I call him a renegade–I don’t mean that his hospital is called “Renegade”!) He also gets much less from the local Blues than he does from Medicare for the same services.

I wrote about Paul a while back and he sounded like a guy with interesting ideas on how to fix health care. So I called him up to see if he would be a good interview–and he didn’t disappoint!

Paul Taylor

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alan LevineMD as HELLDr. Rick LipinMargaret Polaneczky, MD Recent comment authors
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alan Levine
alan Levine

Paul Taylor noted that fee for service reimbursement to specialists in hospitals provides an incentive for over-utilization and that maybe bundled reimbursement would be more cost effective.
If hospital peer review was more effective, more can be done about over-utilization.
One indication that hospital peer review needs to be fixed is the fact that almost 50% of hospitals in the u.S. have never reported a physician for a clinical privilege sanction
to the National Practitioner Data Bank, which opened in Sept. 1990.


Matthew, You need a better microphone. Mr. Taylor is basically advocating a return to the 1950’s and 60’s. That was the last time we had single payor, the patient. That is the only single payor that works. It has to be the patient who is the payor. He clearly said we need to empower the primary care doc. That can only happen if you declaw the plaintiff attorneys. If the primary doc or extender is not lawyer proof, then you will have patients tested as we do now. Another point for Mr. Taylor. It is also clear that Mr. Taylor,… Read more »

Dr. Rick Lipin

Thanks Matt- We need examples and CEOs like this. Although this is an atypical setting.
Dr. Rick Lippin

Margaret Polaneczky, MD

Interesting interview, and Kudos to Taylor for making his hospital work with limited resouces. But on the scale he is working, with only 35 beds, 1,2000 admissions and less that 100 inpatient surgeries yearly with no obstetrics and with his primary care docs sending 50% of their cases to other places, one would argue that Ozark Comm Hospital is not a microcosm of the American healthcare system, but rather a small atypical corner of the universe. Still, an interesting discussion and I thank you for posting it.