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In his first State of the Clinic, Cleveland Clinic CEO Tom Mihaljevic, MD, called on the health system’s 57,000 employees around the world to focus on caring: “how we care for patients, care for each other, care for the organization, and care for our communities,” he urged. Mihaljevic succeeded Toby Cosgrove, MD, who held the…

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In his first State of the Clinic, Cleveland Clinic CEO Tom Mihaljevic, MD, called on the health system’s 57,000 employees around the world to focus on caring: “how we care for patients, care for each other, care for the organization, and care for our communities,” he urged.

Mihaljevic succeeded Toby Cosgrove, MD, who held the top executive position for more than 12 years. Mihaljevic joined Cleveland Clinic in 2004 as a cardiothoracic surgeon, served as CEO of Cleveland Clinic Abu Dhabi since 2015 and took over the post here in the U.S. on January 1, 2018.

In his speech, Mihaljevic called on staff to continue to improve healthcare by best using new technologies, notably artificial intelligence and the latest in data analytics as well as digital platforms.

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Direct-to-consumer telehealth raises spending, even as ASC investment surges

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A Health Affairs analysis of commercial claims data (2011–13) found 12% of direct-to-consumer telehealth visits replaced visits to other providers and 88% represented new utilization, with net annual spending on acute respiratory illness increasing $45 per telehealth user. Separately, MobiHealthNews reported on August 31, 2026, via a HIMSSCast episode, that Erik Tellefson of Capital One said ambulatory surgery centers “represent one of the clearest growth structures in American healthcare.”

  • 01The most actionable benchmark for finance teams evaluating DTC telehealth is substitution rate, not visit growth. Health Affairs measured 12% substitution and 88% new utilization in commercial claims for acute respiratory illness.
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