Forbes June 11, 2025
As the Centers for Medicare & Medicaid Services mulls new payment rules for hospitals, its leaders should consult a crucial concept from the book that made Donald Trump famous, then apply it to quality and safety regulations. Also, Archimedes.
The concept they have in common is leverage.
In The Art of the Deal, then-real-estate-magnate-and-now-president Trump writes, “Leverage is having something the other guy wants.” It is, he emphasizes, “the biggest strength you can have.” Since CMS spends over $1 trillion on health care each year, it has the unique leverage of something everyone wants.
The agency should apply that leverage in two ways as it finalizes the inpatient prospective payment system draft regulations, whose comment period closed June 10. First,...
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