About the only thing that is certain in healthcare these days is “uncertainty”. At the end of September, the Republican Party rejected the Graham-Cassidy bill in their effort to repeal and replace the Affordable Care Act. The turmoil in Congress and among private insurers over the ACA and how to move forward continues to present challenges to those leading our hospitals and health systems.  At Gallagher Integrated, we continue to rely on our extensive data and thought leadership to guide us as we learn to cope with the uncertain future of our national healthcare system.  In this issue of our Vitals newsletter we bring you articles on current drivers of physician and staff engagement; insights from our 2017 Physician Compensation & Production survey; updates to the 2016 FLSA regulation; and more thought leadership that can help guide your organization in its strategic decision making, despite the uncertainty in our environment.  Please contact us for further discussions at : GallagherIntegrated.InfoKC@AJG.com.