May 12, 2025 • 15 mins
Aaron Robinson currently serves as President and CEO of South County Health, Rhode Island’s only independent health system. South County Health is the only Double 5 Star CMS rated hospital in the Northeast and known for its market leading quality and orthopedic program. He brings with him more than 20 years of diverse and progressive health care leadership experience in health systems and community hospitals.Aaron joined South County Health from Florida, where he served as CEO of three Community Hospitals and also System Service Line Executive for Heart & Vascular services at Health First. Located in Rockledge, FL, Health First is a $2 billion fully Integrated Delivery Network of hospitals, a multi-specialty medical group, post-acute & wellness services, and a health plan.A native Midwesterner, Aaron began his leadership career at SSM Health Care, an $8 billion multi-hospital system headquartered in St. Louis. Initially leading operations in SSM’s large and growing multi-site rehabilitation business and ultimately serving the system in service line development and hospital operations as VP of Operations for SSM’s 410 bed St. Joseph Health Center.Aaron holds an MBA from Lindenwood University in St. Louis and a BS in Physical Therapy from the University of Missouri-Columbia. His early background as a practicing physical therapist has helped direct him as a leader to build programs and services that transform and improve care for patients. He has served on numerous community and industry boards.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
iHeartRadio Providence CEOs you should know today we have Aaron Robinson,
President and CEO of South County Health. Thank you for
coming on and joining us. How are you going well?
Speaker 2 (00:09):
Thank you for having me.
Speaker 1 (00:10):
Absolutely so tell me a little bit more about South
County Health in the mission that you have.
Speaker 2 (00:15):
So.
Speaker 3 (00:15):
South County Health is the primary health system in southern
Rhode Island, and that really is mostly Washington County in
some parts of Kent County. And we are made up
of South County Hospital, South County Home Health Agency, and
South County Medical Group. We also have multiple ambulatory locations
(00:37):
from as north as the Warwick area down to the
Westerly area, so we have multiple ambulatory locations, hospital and
home care and a medical group.
Speaker 1 (00:47):
Awesome. Tell me a little bit about your background and
what other roles you serve.
Speaker 3 (00:51):
So my background started out as a physical therapist and
outpation orthopedics. So started out on the clinical side of
things and through the years got into leadership and then
in the early two thousands moved over to the acute
care side of things in strategy and business development, building
(01:13):
service lines for a large health system in Saint Louis
SSM Healthcare they're about a nine billion dollar system, and
then was recruited down to Florida to do the same
thing in a about a two and a half billion
dollar system down there. Health First was the name of
that system. So I've really spent my career in political
(01:37):
early on, and then more strategic roles building service lines.
Speaker 2 (01:41):
So service lines.
Speaker 3 (01:42):
Are what we talk about is really disease specific programs
and services, say cancer, heart, disease, those kinds of things,
and have built those service lines in addition to being
CEO mostly of community hospitals, I was a ceover three
community hospitals in Florida, and then this opportunity came up
(02:03):
in Rhode Island to be a CEO for a health
system that was looking to build more service lines than
what has historically been our marquee service line of orthopedics.
Speaker 2 (02:15):
So that's my background.
Speaker 1 (02:17):
Awesome, tell me a little bit about how the pandemic
has changed healthcare.
Speaker 2 (02:22):
How long do you have?
Speaker 3 (02:23):
So it's changed it profoundly. I think it's changed the
world profoundly to begin with, but healthcare in particular, it
has changed it profoundly in a few major ways. One
is dramatic cost escalation and so healthcare is an expensive
(02:47):
endeavor before the pandemic, but post pandemic, everything has skyrocketed
above what was.
Speaker 2 (02:57):
Already an elevated level.
Speaker 3 (02:59):
And an example of that, anti caesiologists in Rhode Island
for covering our oars, which is a critical component in
the hospital business, used to run around four hundred thousand
dollars a year. Post the pandemic, they run around seven
hundred thousand dollars a year, so roughly double the expense
(03:23):
from a coverage perspective, and all other coverage costs in
a twenty four to seven operation have had similar increases.
So then you combine that with a lot of clinicians
going off of the bench because they've basically said, through
all of the mortality, through all the intensity of the pandemic,
(03:46):
I'm not sure I really want to do this anymore.
And so your supply of clinicians has shrunk. At the
same time the demand has continued to increase in the
costs of continued to.
Speaker 2 (03:59):
Escalate, so uh so you have less.
Speaker 3 (04:02):
Clinician supply, much more expensive supply chain expenses have gone
through the roof, and revenue simply hasn't kept up with
those dramatic escalations.
Speaker 2 (04:13):
Uh in costs. And the last thing I'd.
Speaker 3 (04:15):
Say is, UH is people have gotten uh less tolerant, less.
Speaker 2 (04:24):
Gracious. Uh if you will uh and uh.
Speaker 3 (04:28):
You know, one of my nurses mentioned, UH when we're
talking about recruitment and retention. You know, why is it
so hard to find nurses? And uh And she said, listen,
before the pandemic, we didn't used to have put I
have to put signs up on the wall that says,
please be kind to your health care provider. Uh. And
(04:52):
and and violence won't be tolerated. In fact, you know,
healthcare workers are five times more likely to be victims
of workplace violence than any other industry in the US,
and that increased through the pandemic. So many many negative
impacts through the pandemic that we're dealing with.
Speaker 1 (05:14):
Now, why is Rhode Island experiencing a crisis in healthcare
right now?
Speaker 3 (05:18):
Well, the first thing I would say is, unfortunately there's
a self inflicted wound. So the Rhode Island about twenty
years ago implemented what they call the Office of the
Health Insurance Commissioner o HICK for short, and I think
with laudable intentions. They were seeking to reduce the cost
(05:41):
curve or bend the cost curve and healthcare. So what
they did is and they imposed a ceiling on reimbursements
for health care systems hospitals specifically.
Speaker 2 (05:55):
That was below the rate of inflation.
Speaker 3 (05:58):
So every year we have a limit to how much
we could our rates can be increased below the cost
of health care inflation, and that difference between those two
has kind of come up to about two percent per year.
So over you know, twenty years, that's created about a
(06:19):
twenty five to thirty percent gap in reimbursement for Rhode
Island health systems as compared to our neighbors in Connecticut
and Massachusetts. So we get paid for the same knee replacement,
same hospital emission twenty five to thirty percent less than
our neighboring states. So ultimately that's why you've seen so
(06:42):
many bankruptcies in Rhode Island, so much vacancy, so many
lost physicians, lost nurses. You know, people know in New
England you can live in Rhode Island and then go
work across the border and make significantly more money. And
so unless you're from here, your spouses from here, a
lot of folks choose to work elsewhere, and so that's
(07:06):
why you can't find a primary care physician. You can't
find a specialist. You hear about the crisis in many
patients being let go from anchor medicals, So twenty five
thousand patients will be without primary care physicians as of June.
There's another large health system that has about twenty five
(07:28):
thousand unassigned patients. In other words, they can't find providers
to see those patients. Thundermisted our they see about sixty
thousand patients. They're on the brink of financial collapse. So
the state is really in great peril as it relates
to healthcare access. And the reason, the root cause is
(07:52):
that underfunding of the health system, and that has to
start to be addressed.
Speaker 1 (07:57):
How has self county health been impacted by that.
Speaker 2 (08:01):
So we've seen a lot.
Speaker 3 (08:04):
So the other thing in Rhode Island is greater than
a third of physicians.
Speaker 2 (08:09):
Or at the age of retirement.
Speaker 3 (08:11):
So then you combine that with the fact that Rhode
Island is one of the worst states in the nation
because of those reimbursement issues at keeping the residents, the
medical residents that we train, most of them decide to
go elsewhere because they can get paid more so you
have more retiring than you're replacing through training medical education,
(08:34):
so that math doesn't work. And so we've seen people
retire and it's been difficult to attract people to come
to Rhode Island to replace those individuals that are retiring,
So that's impacted us. I'm proud to say that South
County Health has managed through that transition and we have
(08:57):
more providers in our medical group now than in two
twenty nineteen, but it hasn't been without its challenges. When
those physicians retire, you have to then bring another provider
in to take over their panel of patients. That's a
transition for people, and folks don't like that. You know,
if you get used over your primary care provider, you
(09:18):
don't want to start over. But some people can't even
start over because there's not enough providers to see them.
So we're really focused on increasing our primary care base
to meet that ongoing demand.
Speaker 2 (09:32):
But we can't do it alone.
Speaker 1 (09:34):
What should Rhode Islanders know about the three current healthcare
legislative bills. So we're introduced by the Hospital Association of
Rhode Island.
Speaker 3 (09:41):
So this has been a part of South County Health's
effort over the last couple of years to really address
that root cause issue underfunding in Rhode Island, and so
South County Health really on its own last year went
out and created a campaign to create awareness of that
(10:04):
underfunding as the root cause for sustainability.
Speaker 2 (10:08):
Now, the Hospital.
Speaker 3 (10:09):
Association this year, I'm pleased to say, has leaned into
that effort and brought forward a package of six bills,
three in the House, three in the Senate to address.
Speaker 2 (10:21):
This healthcare crisis.
Speaker 3 (10:24):
I'm privileged to be the vice chair of Hospital Association
of Rhode Island and so these bills seek to do
a few things. One is increase the Medicaid reimbursement and
the federal match that comes with Medicaid. So gets a
little complicated, but within medicaid and a third of our
(10:49):
residents in Rhode Island are on Medicaid. For every dollar
that the state invests in Medicaid, we get about a
two dollars additional and federal match from the government from
the federal government, so we're leaving money on the table
in terms of federal match that's going to other states.
So we're trying to maximize that federal match because in essence,
(11:12):
we as taxpayers to the federal government are subsidizing other
states as it relates to that federal match, so we
want to maximize that match that can be invested into
our Medicaid rates. But we also want to increase that
ceiling on commercial reimbursement. So that's your Blue Cross, Blue
(11:33):
Shield United Healthcare. Those payers pay us twenty five percent
less than what they pay across the border in Massachusetts
and Connecticut.
Speaker 2 (11:46):
So we want to increase that ceiling.
Speaker 3 (11:48):
That's imposed by that OHIC regulatory body by two percent
per year.
Speaker 2 (11:53):
So that's another bill that's put forward.
Speaker 3 (11:56):
It's not going to level the playing field overnight, but
it's a big elephant.
Speaker 2 (12:00):
We have to eat eat.
Speaker 3 (12:01):
One bide at a time, and these bills start to
address some of those root cause issues that can start
to keep doctors in the state, keep nurses in the state,
help us reinvest in the technology and the infrastructure needed
to treat an aging population.
Speaker 1 (12:19):
What is South County Health doing directly to fix that
primary care issue that you referenced.
Speaker 2 (12:24):
Yeah, so we are.
Speaker 3 (12:27):
We are one recruiting aggressively to bridge the gap in
the shortage of primary care physicians. Two, we're transforming the
model of care into what has historically been one doctor,
one patient to teams of providers that best.
Speaker 2 (12:51):
Meet the needs of a primary care patient base. What
does that mean?
Speaker 3 (12:55):
So we have a ongoing pilot program that we're going
to be extending to most of our other sites where
you have a physician that's teamed up with advanced practice providers.
Speaker 2 (13:11):
Those are nurse practitioners.
Speaker 3 (13:13):
Pas in some instances, with pharmacists with social workers. Because
we're never going to be able to recruit enough primary
care physicians to meet the need. We need teams of
providers that are going to be able to see these
patients because they may just need a medication check that
(13:34):
a pharmacist can help with, or they may have behavioral
health needs that a social worker can address, or they
may have low acuity needs that are better suited for
advanced practice providers. So we're looking at this team based
care to expand that access and we're seeing some good
success with that. So we're very very committed to continue
(13:59):
to meet that need from an access perspective.
Speaker 1 (14:02):
Awesome, are you currently hiring and if so, in what
roles and how can somebody apply?
Speaker 3 (14:07):
Yes, we're hiring across many many roles. I would say,
are we look at some of our hottest jobs being
of course primary care physicians. We're recruiting for oncology providers,
medical assistants, phlebotomists, surgical technicians.
Speaker 2 (14:30):
You know.
Speaker 3 (14:30):
Of course we're always recruiting for bedside nurses, primary care nurses,
so we have a number of openings from a clinical perspective,
just like all health systems, particularly in Rhode Island. Again,
it's for all the reasons we've talked about, it's a
challenging state to recruit to. I'm proud to say that
(14:53):
our turnover in these areas.
Speaker 2 (14:56):
Is well above or well below.
Speaker 3 (15:00):
State benchmarks because of the culture that we've created here,
but we always need.
Speaker 1 (15:06):
More for sure. Well, thank you very much, Aaron Robinson,
President and CEO of South County Health. Really informative interview.
We appreciate you coming on iHeartRadio Providence. CEOs you should know.
Speaker 2 (15:16):
Thank you so much.
iHeartRadio Providence CEOs you should know today we have Aaron Robinson,
President and CEO of South County Health. Thank you for
coming on and joining us. How are you going well?
Speaker 2 (00:09):
Thank you for having me.
Speaker 1 (00:10):
Absolutely so tell me a little bit more about South
County Health in the mission that you have.
Speaker 2 (00:15):
So.
Speaker 3 (00:15):
South County Health is the primary health system in southern
Rhode Island, and that really is mostly Washington County in
some parts of Kent County. And we are made up
of South County Hospital, South County Home Health Agency, and
South County Medical Group. We also have multiple ambulatory locations
(00:37):
from as north as the Warwick area down to the
Westerly area, so we have multiple ambulatory locations, hospital and
home care and a medical group.
Speaker 1 (00:47):
Awesome. Tell me a little bit about your background and
what other roles you serve.
Speaker 3 (00:51):
So my background started out as a physical therapist and
outpation orthopedics. So started out on the clinical side of
things and through the years got into leadership and then
in the early two thousands moved over to the acute
care side of things in strategy and business development, building
(01:13):
service lines for a large health system in Saint Louis
SSM Healthcare they're about a nine billion dollar system, and
then was recruited down to Florida to do the same
thing in a about a two and a half billion
dollar system down there. Health First was the name of
that system. So I've really spent my career in political
(01:37):
early on, and then more strategic roles building service lines.
Speaker 2 (01:41):
So service lines.
Speaker 3 (01:42):
Are what we talk about is really disease specific programs
and services, say cancer, heart, disease, those kinds of things,
and have built those service lines in addition to being
CEO mostly of community hospitals, I was a ceover three
community hospitals in Florida, and then this opportunity came up
(02:03):
in Rhode Island to be a CEO for a health
system that was looking to build more service lines than
what has historically been our marquee service line of orthopedics.
Speaker 2 (02:15):
So that's my background.
Speaker 1 (02:17):
Awesome, tell me a little bit about how the pandemic
has changed healthcare.
Speaker 2 (02:22):
How long do you have?
Speaker 3 (02:23):
So it's changed it profoundly. I think it's changed the
world profoundly to begin with, but healthcare in particular, it
has changed it profoundly in a few major ways. One
is dramatic cost escalation and so healthcare is an expensive
(02:47):
endeavor before the pandemic, but post pandemic, everything has skyrocketed
above what was.
Speaker 2 (02:57):
Already an elevated level.
Speaker 3 (02:59):
And an example of that, anti caesiologists in Rhode Island
for covering our oars, which is a critical component in
the hospital business, used to run around four hundred thousand
dollars a year. Post the pandemic, they run around seven
hundred thousand dollars a year, so roughly double the expense
(03:23):
from a coverage perspective, and all other coverage costs in
a twenty four to seven operation have had similar increases.
So then you combine that with a lot of clinicians
going off of the bench because they've basically said, through
all of the mortality, through all the intensity of the pandemic,
(03:46):
I'm not sure I really want to do this anymore.
And so your supply of clinicians has shrunk. At the
same time the demand has continued to increase in the
costs of continued to.
Speaker 2 (03:59):
Escalate, so uh so you have less.
Speaker 3 (04:02):
Clinician supply, much more expensive supply chain expenses have gone
through the roof, and revenue simply hasn't kept up with
those dramatic escalations.
Speaker 2 (04:13):
Uh in costs. And the last thing I'd.
Speaker 3 (04:15):
Say is, UH is people have gotten uh less tolerant, less.
Speaker 2 (04:24):
Gracious. Uh if you will uh and uh.
Speaker 3 (04:28):
You know, one of my nurses mentioned, UH when we're
talking about recruitment and retention. You know, why is it
so hard to find nurses? And uh And she said, listen,
before the pandemic, we didn't used to have put I
have to put signs up on the wall that says,
please be kind to your health care provider. Uh. And
(04:52):
and and violence won't be tolerated. In fact, you know,
healthcare workers are five times more likely to be victims
of workplace violence than any other industry in the US,
and that increased through the pandemic. So many many negative
impacts through the pandemic that we're dealing with.
Speaker 1 (05:14):
Now, why is Rhode Island experiencing a crisis in healthcare
right now?
Speaker 3 (05:18):
Well, the first thing I would say is, unfortunately there's
a self inflicted wound. So the Rhode Island about twenty
years ago implemented what they call the Office of the
Health Insurance Commissioner o HICK for short, and I think
with laudable intentions. They were seeking to reduce the cost
(05:41):
curve or bend the cost curve and healthcare. So what
they did is and they imposed a ceiling on reimbursements
for health care systems hospitals specifically.
Speaker 2 (05:55):
That was below the rate of inflation.
Speaker 3 (05:58):
So every year we have a limit to how much
we could our rates can be increased below the cost
of health care inflation, and that difference between those two
has kind of come up to about two percent per year.
So over you know, twenty years, that's created about a
(06:19):
twenty five to thirty percent gap in reimbursement for Rhode
Island health systems as compared to our neighbors in Connecticut
and Massachusetts. So we get paid for the same knee replacement,
same hospital emission twenty five to thirty percent less than
our neighboring states. So ultimately that's why you've seen so
(06:42):
many bankruptcies in Rhode Island, so much vacancy, so many
lost physicians, lost nurses. You know, people know in New
England you can live in Rhode Island and then go
work across the border and make significantly more money. And
so unless you're from here, your spouses from here, a
lot of folks choose to work elsewhere, and so that's
(07:06):
why you can't find a primary care physician. You can't
find a specialist. You hear about the crisis in many
patients being let go from anchor medicals, So twenty five
thousand patients will be without primary care physicians as of June.
There's another large health system that has about twenty five
(07:28):
thousand unassigned patients. In other words, they can't find providers
to see those patients. Thundermisted our they see about sixty
thousand patients. They're on the brink of financial collapse. So
the state is really in great peril as it relates
to healthcare access. And the reason, the root cause is
(07:52):
that underfunding of the health system, and that has to
start to be addressed.
Speaker 1 (07:57):
How has self county health been impacted by that.
Speaker 2 (08:01):
So we've seen a lot.
Speaker 3 (08:04):
So the other thing in Rhode Island is greater than
a third of physicians.
Speaker 2 (08:09):
Or at the age of retirement.
Speaker 3 (08:11):
So then you combine that with the fact that Rhode
Island is one of the worst states in the nation
because of those reimbursement issues at keeping the residents, the
medical residents that we train, most of them decide to
go elsewhere because they can get paid more so you
have more retiring than you're replacing through training medical education,
(08:34):
so that math doesn't work. And so we've seen people
retire and it's been difficult to attract people to come
to Rhode Island to replace those individuals that are retiring,
So that's impacted us. I'm proud to say that South
County Health has managed through that transition and we have
(08:57):
more providers in our medical group now than in two
twenty nineteen, but it hasn't been without its challenges. When
those physicians retire, you have to then bring another provider
in to take over their panel of patients. That's a
transition for people, and folks don't like that. You know,
if you get used over your primary care provider, you
(09:18):
don't want to start over. But some people can't even
start over because there's not enough providers to see them.
So we're really focused on increasing our primary care base
to meet that ongoing demand.
Speaker 2 (09:32):
But we can't do it alone.
Speaker 1 (09:34):
What should Rhode Islanders know about the three current healthcare
legislative bills. So we're introduced by the Hospital Association of
Rhode Island.
Speaker 3 (09:41):
So this has been a part of South County Health's
effort over the last couple of years to really address
that root cause issue underfunding in Rhode Island, and so
South County Health really on its own last year went
out and created a campaign to create awareness of that
(10:04):
underfunding as the root cause for sustainability.
Speaker 2 (10:08):
Now, the Hospital.
Speaker 3 (10:09):
Association this year, I'm pleased to say, has leaned into
that effort and brought forward a package of six bills,
three in the House, three in the Senate to address.
Speaker 2 (10:21):
This healthcare crisis.
Speaker 3 (10:24):
I'm privileged to be the vice chair of Hospital Association
of Rhode Island and so these bills seek to do
a few things. One is increase the Medicaid reimbursement and
the federal match that comes with Medicaid. So gets a
little complicated, but within medicaid and a third of our
(10:49):
residents in Rhode Island are on Medicaid. For every dollar
that the state invests in Medicaid, we get about a
two dollars additional and federal match from the government from
the federal government, so we're leaving money on the table
in terms of federal match that's going to other states.
So we're trying to maximize that federal match because in essence,
(11:12):
we as taxpayers to the federal government are subsidizing other
states as it relates to that federal match, so we
want to maximize that match that can be invested into
our Medicaid rates. But we also want to increase that
ceiling on commercial reimbursement. So that's your Blue Cross, Blue
(11:33):
Shield United Healthcare. Those payers pay us twenty five percent
less than what they pay across the border in Massachusetts
and Connecticut.
Speaker 2 (11:46):
So we want to increase that ceiling.
Speaker 3 (11:48):
That's imposed by that OHIC regulatory body by two percent
per year.
Speaker 2 (11:53):
So that's another bill that's put forward.
Speaker 3 (11:56):
It's not going to level the playing field overnight, but
it's a big elephant.
Speaker 2 (12:00):
We have to eat eat.
Speaker 3 (12:01):
One bide at a time, and these bills start to
address some of those root cause issues that can start
to keep doctors in the state, keep nurses in the state,
help us reinvest in the technology and the infrastructure needed
to treat an aging population.
Speaker 1 (12:19):
What is South County Health doing directly to fix that
primary care issue that you referenced.
Speaker 2 (12:24):
Yeah, so we are.
Speaker 3 (12:27):
We are one recruiting aggressively to bridge the gap in
the shortage of primary care physicians. Two, we're transforming the
model of care into what has historically been one doctor,
one patient to teams of providers that best.
Speaker 2 (12:51):
Meet the needs of a primary care patient base. What
does that mean?
Speaker 3 (12:55):
So we have a ongoing pilot program that we're going
to be extending to most of our other sites where
you have a physician that's teamed up with advanced practice providers.
Speaker 2 (13:11):
Those are nurse practitioners.
Speaker 3 (13:13):
Pas in some instances, with pharmacists with social workers. Because
we're never going to be able to recruit enough primary
care physicians to meet the need. We need teams of
providers that are going to be able to see these
patients because they may just need a medication check that
(13:34):
a pharmacist can help with, or they may have behavioral
health needs that a social worker can address, or they
may have low acuity needs that are better suited for
advanced practice providers. So we're looking at this team based
care to expand that access and we're seeing some good
success with that. So we're very very committed to continue
(13:59):
to meet that need from an access perspective.
Speaker 1 (14:02):
Awesome, are you currently hiring and if so, in what
roles and how can somebody apply?
Speaker 3 (14:07):
Yes, we're hiring across many many roles. I would say,
are we look at some of our hottest jobs being
of course primary care physicians. We're recruiting for oncology providers,
medical assistants, phlebotomists, surgical technicians.
Speaker 2 (14:30):
You know.
Speaker 3 (14:30):
Of course we're always recruiting for bedside nurses, primary care nurses,
so we have a number of openings from a clinical perspective,
just like all health systems, particularly in Rhode Island. Again,
it's for all the reasons we've talked about, it's a
challenging state to recruit to. I'm proud to say that
(14:53):
our turnover in these areas.
Speaker 2 (14:56):
Is well above or well below.
Speaker 3 (15:00):
State benchmarks because of the culture that we've created here,
but we always need.
Speaker 1 (15:06):
More for sure. Well, thank you very much, Aaron Robinson,
President and CEO of South County Health. Really informative interview.
We appreciate you coming on iHeartRadio Providence. CEOs you should know.
Speaker 2 (15:16):
Thank you so much.
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