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Inside the Business of a $5.3 Trillion Healthcare Industry

What Does It Take to Lead in Healthcare Administration?

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OBNA Podcast -- Episode 2

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Healthcare is a multi-trillion dollar industry, yet most hospitals operate right at breakeven. In this conversation, a former Army Medical Department leader turned program director unpacks what it really takes to lead on the business side of patient care.

Dr. Lee Bewley draws on a full career in the Army Medical Department, including serving as administrator of a combat support hospital, to frame healthcare as a strategic resource. He and host Connor Makowiak dig into a puzzle many people misunderstand: the country spends more per person than other nations, outcomes lag, and a meaningful share of the population still lacks regular access to care. If the money is flowing, why are organizations under so much pressure?

The discussion moves from economics to the human side of the job. Bewley explains why the most effective leaders take a systems perspective, listen for trends in patient data, and communicate in a way that builds genuine buy-in across every level of an organization. He also talks candidly about process improvement, using a memorable movie reference to explain why the pursuit of excellence never really ends as conditions keep changing.

The episode looks ahead to the skills tomorrow's administrators will need, from finance and operations to logistics, policy, and analytic thinking, and how emerging tools may extend human judgment. Bewley closes with reflections on service, resilience, and how UofL's online Master of Science in Health Administration is built around the realities of working professionals with families and careers.

Press play to hear the full conversation and learn how the program's structure and focus map to a career in healthcare leadership.