First edition · 2026

The Business of Healthcare

Essential Lessons for Emerging Healthcare Leaders

Healthcare is a business, and most of the people asked to lead it were never taught how it works. Thirty-four plain-language lessons on how the money flows, how the law constrains and protects, how quality is made, and how leaders earn trust.

Cover of The Business of Healthcare: Essential Lessons for Emerging Healthcare Leaders
Faculty at University of Houston· Rice University· University of Miami
The Book

The course in healthcare business you never got in training

A clinician can spend an entire career without ever seeing a price, an invoice, or a payment. Then comes the first leadership role, and with it a budget, a team, payer-mix reports, and a CFO asking questions no one in training ever raised. Professionals crossing over from other industries face the opposite problem: they know business, but not the ecosystem of payers, regulators, and clinical cultures that makes healthcare unlike any other field. The Business of Healthcare closes that gap.

34

Lessons, not lectures

Concise, practical lessons sized for a working professional's schedule, each closing with a summary, Executive Takeaways, and a short list of further reading.

100+

Examples in action

More than one hundred examples show the concepts at work, from a clinic's payer mix to a hospital's governance, in plain language and without footnotes.

4

Appendices that map the field

The healthcare ecosystem, a glossary of terms and acronyms, the three paths into healthcare leadership, and a curated guide to deeper reading.

See the full table of contents and editions →

What's inside

Eight parts, one practical primer

Part I

The Challenge

Why the United States spends roughly twice what other developed nations spend on healthcare with worse outcomes, the economics behind that market failure, and the volume-to-value shift.

Part II

Leading Self and Teams

Self-awareness, the move from peer to leader, and the communication, negotiation, and change-management skills that make teams work.

Part III

The Quality Agenda

Zero harm and high-reliability organizations, patient-centered and evidence-based care, population health, and Lean Six Sigma.

Part IV

The Cost Agenda

Where the money comes from, financial and managerial accounting, finance, and budgeting, built from the ground up for readers without a finance background.

Part V

Operations and Execution

Supply chain, access and service design, emergency preparedness, project management, health information, and data analytics and AI.

Part VI

Growth and Change

Marketing, innovation, human resources and culture, and labor relations.

Part VII

Constraints

Ethics, health law, professional liability, and healthcare policy.

Part VIII

Leading the Enterprise

Strategy, hospital governance and the medical staff, and leading organizations.

Who it's for

Written for the people who run healthcare next

Clinicians stepping up

Physicians, nurses, and allied health practitioners moving into their first leadership roles, with a budget to own and metrics to answer for.

Administrators rising

Healthcare administrators preparing to advance, who already know the machinery and need the full picture.

Career-changers crossing over

Professionals entering healthcare from other industries who bring the business skills and need the ecosystem.

Students and policymakers

Students of healthcare management, and the policymakers and citizens who want to understand why American healthcare works the way it does.

Edward J. Kroger
About the Author

Edward J. Kroger, MD, JD, MBA

Edward J. Kroger is a physician, attorney, and healthcare executive who has spent nearly fifty years at the intersection of medicine, law, and business. A former board-certified internist, he represented healthcare systems and providers as an attorney for more than thirty years, argued the Texas Medical Peer Review Privilege before the Texas Supreme Court, and serves as Chief Legal Officer of a large nonprofit organization.

He is the founding director of the Master of Science in Healthcare Leadership program at the University of Houston's Bauer College of Business and teaches healthcare business, law, and leadership at the University of Houston, Rice University's Jones Graduate School of Business, and the University of Miami.

Physician (MD)Attorney (JD)MBAChief Legal OfficerProfessor of Practice

More about Edward →

Speaking & Consulting

Bring the business of healthcare to your organization

Edward speaks to health systems, medical groups, boards, associations, and universities — keynotes, board retreats, grand rounds, and executive education built on decades in the field.

1

Healthcare as a Business

2

The Business of Healthcare: Essential Lessons

3

Private Equity and Medical Practice

4

Strategic Leadership in Healthcare

5

Governing Under Pressure

6

Developing Your Philosophy of Leadership

7

How (Not) to Get Sued for Medical Malpractice

Topics, formats, and the speaker one-pager →

Contact

Let's talk

Speaking, consulting, executive education, and media inquiries — or a question about the book.

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