Hospitals struggle as clinical-financial gap widens

Becker’s Hospital Review – Wednesday, December 3, 2025
By Laura Dyrda

Health systems nationwide are navigating a growing number of payer-driven rules that influence how care is delivered, documented and reimbursed. For clinical and financial leaders, these pressures have become central to both daily operations and long-term strategy.

At New York City-based Mount Sinai Health System, Stephen Teitelbaum, MD, senior vice president and chief medical finance officer, said the cumulative effect of policies such as DRGs, preauthorization and observation criteria has reshaped the relationship between physicians, hospitals and insurers.

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