Nathan Kaufman: Hospital-based anesthesia and radiology operate in a broken financial model
The good ol’ days of hospital-based physicians providing services at no cost in exchange for exclusivity are over, creating significant disruptions. Health systems are facing a growing shortage of anesthesiologists and radiologists, a shortfall that is driven by a broken business model for those types of services. Underpayment for anesthesia and radiology care by Medicare and Medicaid combined with a lack of experience in related revenue cycle management and high…
Hospital labor trends in 2025 show slower hiring but continued workforce growth
High profile layoffs were dwarfed by new hires in 2025 at hospitals, as organizations positioned for coming turmoil. Hospitals added 163,000 positions in 2025 to reach 5,804,200 positions, seasonally adjusted, by December, according to the Bureau of Labor Statistics (BLS). Hospital hiring averaged 13,600 personnel each month. That hiring pace was the fastest among various…
Labor outsourcing shifts to non-clinical roles
Outsourcing at hospitals and health systems has shifted from a focus on clinical roles a couple years ago to non-clinical jobs, according to a survey-based tracker of financial trends. The recently released 2025 Health System Performance Outlook by Kaufman Hall identified a range of labor and other trends at those organizations. Its findings were based…