Economists Caution: ACOs May Not End Wasteful Health Spending

With its well-regarded hospitals dominating Northern Virginia and $2.3 billion in net operating revenue last year, Inova Health System must be the envy of many hospital groups. But in a sign that even the strongest players feel pressure to save money and operate more efficiently, Inova this week trimmed many of its mid-level management positions.

Inova cut 117 management jobs, 84 through attrition, spokesman Tony Raker said in an email. “Inova is responding not only to economic challenges but to anticipated changes (as well as unknowns) within the health care reform environment,” he wrote. “While the economy is a universal challenge, hospitals and health care systems face specific hurdles as the nation struggles with escalating health care costs and, in turn, providers struggle with continuing reductions in Medicare compensation, infrastructure maintenance, higher material costs not to mention technological investments necessary to

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