Strategic advice from experts you trust

About Us

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Gist /jist/ noun

(1) the most essential or most vital part of some idea or experience; the most important pieces of information (2) the real point of action

We analyze the complex—and often conflicting—forces affecting healthcare, distill what matters, and deliver guidance on the industry’s future direction and what it means for your growth and strategy.

In brief, we give you “the gist” of what’s important for your organization.

Meet the founders


Chas Roades

I come from a family tradition of national service. For the past twenty years, I’ve brought that same passion for service to the goal of making healthcare work better in this country. Nothing gets me more excited than the opportunity to work with leaders in the industry to bring fresh insight and provocative ideas to the task of improving care for our citizens.

Learn more about Chas

Lisa Bielamowicz, MD

I became a doctor twenty years ago to make healthcare better for patients. Our work at Gist Healthcare allows me to do that at national scale. The pace of transformation in healthcare has been frustratingly slow. I love working with systems who are driven to change, helping them understand the market, and create solutions that consumers will value.

Learn more about Lisa

Who we are

Gist Healthcare is an independent strategic advisory service that provides guidance to healthcare leaders in hospital systems, physician groups and other organizations on market direction, system strategy, care transformation and payment reform.

At Gist Healthcare, we want to set a new direction for the industry. Our vision is centered around delivering value to the most important people in healthcare – individual consumers. We aspire to help your organization make care accessible, affordable and reliable, and to support you in building a durable platform for success in a rapidly changing environment

What we know

Together we bring nearly four decades of experience in understanding what works in healthcare, and the drivers of growth and transformation. Business executives, policymakers and media consistently call on us to provide guidance on the future of our industry. 

Having served as trusted advisors to CEOs and leaders at thousands of health systems and physician groups across the country, we bring focused expertise in:

  • Future of healthcare and industry dynamics
  • Impact of changing health policy
  • Emergence of consumerism in healthcare
  • Best approaches to physician strategy
  • Population health and care transformation
  • Growth and consolidation strategy
  • Medicare/Medicaid and payer strategy

How we are different

Deep expertise

We understand the healthcare landscape, the provider marketplace, and the strengths and challenges of the industry.

Unparalleled depth

We understand the needs of all healthcare stakeholders, from the C-suite executive to the frontline provider, from policy makers to employers to patients.

An extensive network of relationships

National trends inform our thinking, but we know healthcare is local. Our deep knowledge of markets across the country drives our guidance.

Objective and unbiased opinions

Our sole desire is to find solutions that will make healthcare more accessible, affordable, and reliable for consumers.

A knack for simplifying ideas

We bring years of experience in communicating clear and actionable insights to leaders across healthcare.


Chas Roades

Chas is one of the nation’s leading experts on health system strategy. An authority on healthcare transformation, he has served as a trusted advisor to health sector leaders for 20 years.

Chas frequently presents at policy, industry, and investor conferences, and is often cited by national media, including The Wall Street Journal, The New York Times, The Washington Post, Modern Healthcare, Health Affairs, and National Public Radio. Known for his ability to bring clarity and insight to complex topics, he is a highly sought-after keynote speaker, and has presented at hundreds of health system board meetings, executive retreats, and leadership conferences.

In the policy arena, Chas has frequently been called upon to speak and participate in panel discussions at institutions ranging from the Bipartisan Policy Center to the National Governor’s Association, and he has been asked to advise the White House, members of Congress, and the Secretary of Health and Human Services on healthcare policy.

Previously, Chas served for over 15 years as Chief Research Officer of the Advisory Board Company, where he led the research enterprise and was the principal author of numerous studies on hospital and health system strategy and operations. His areas of expertise include system transformation, population health strategy, healthcare consumerism, and reimbursement policy. CEOs and senior executives at health systems across the country and around the world rely on Chas as a thought partner and strategic counselor.

Chas serves on numerous health system, nonprofit, and health policy boards and advisory councils, and has been an adjunct faculty member at Brown University. Involved in statewide healthcare reform for more than a decade, Chas is currently Board Chair of the Virginia Center for Health Innovation. Prior to his role at Advisory Board, Chas was an engagement manager at McKinsey & Company, where he led engagements on strategy, organization and operations for Fortune 500 clients. A decorated veteran, Chas began his career as an intelligence officer in the United States Air Force.

Chas earned his MBA from Stanford University. He also holds a master’s degree from Stanford, and a bachelor’s degrees in economics and foreign affairs from the University of Virginia.


Lisa Bielamowicz, MD

A national expert on delivery system transformation, Dr. Lisa Bielamowicz is known for being able to distill actionable insight from complex and conflicting market forces. Whether keynoting an industry conference or working with an executive team, her passion is increasing the pace of transformation in health care. 

Lisa brings energetic, provocative discussion to every forum she leads. She presents at over 75 board meetings, leadership retreats, industry conferences, and executive strategy sessions annually. She is a requested keynote speaker, and is regularly consulted by media, having been quoted in the New York Times, Modern Healthcare, Wall Street Journal, and Health Affairs.

Lisa’s work combines national-level insight with a deep understanding of local market dynamics and system strength. A trusted advisor to dozens of health systems and physician networks, executives call on Lisa to provide critical guidance on strategy and investments, and to serve as a partner in developing consensus toward a common vision.

Prior to founding Gist, Lisa was the Chief Medical Officer and Senior Vice President of the Advisory Board Company, where she led the firm’s strategy and clinical research for over a decade and was the primary author of many publications on health system and physician strategy, population health and delivery transformation.

As a physician Lisa brings a clinical lens to her work and has a deep understanding of the dynamics of physician practice. She trained in diagnostic radiology at Johns Hopkins Hospital. A Howard Hughes fellow, she researched memory and learning using functional MRI at the National Institutes of Mental Health. She holds a bachelor’s degree in biology and sociology from Rice University, and received her MD with highest honors from Baylor College of Medicine, graduating first in her class.