May 4, 2026 · JAMA · DOI: 10.1001/jama.2026.5027

Changes in Nonprofit Hospitals' Finances, Operations, and Quality of Care After Using Management Consultants

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The authors aimed to quantify the spending of nonprofit hospitals on management consultants and assess the subsequent impacts on their finances, operations, and quality of care. Despite over $7.8 billion spent on consulting services from 2009 to 2023, the study found little evidence of significant improvements in these areas, raising concerns about the effectiveness and value of management consulting in the nonprofit hospital sector.

Joseph Dov Bruch, Cal Chengqi Fang, Yan Bo Zeng, Avni Parthan, Ashvin D Gandhi

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