Becker’s Healthcare Podcast James Siegel, SVP and CFO of VCU Health
Nov 1, 2025
James Siegel, Senior Vice President and CFO of VCU Health, is at the forefront of financial strategy in healthcare. He discusses the transformative impact of the One Big Beautiful Bill on financial trends and shares insights on sustainable performance programs like Thrive 2026. James highlights exciting investments in ambulatory pavilions, a new children’s hospital, and robotic technologies. He stresses the importance of bringing tertiary care closer to communities, enhancing patient access, and outlines future growth plans including new surgical centers and expanded NICU services.
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Policy Changes Create Material Uncertainty
- The One Big Beautiful Bill could create material but uncertain impacts across ACA credits, Medicaid, 340B, and site neutrality.
- James Siegel emphasizes scenario planning because timing and state responses remain unclear.
Regulation Drives Continuous Improvement
- Regulatory and payment shifts are recurring pressures that force continual operational improvement in healthcare.
- James Siegel frames current changes as another phase in long-term performance optimization.
Build Sustainable Performance Programs
- Launch structured, senior-led performance programs to build sustainable margin improvement rather than one-time fixes.
- James Siegel's Thrive 2026 ties CFO, COO, CEO, and board governance to hold leaders accountable for lasting change.