Cost cutting is difficult in any industry, but it’s particularly challenging in healthcare, where organizations are simultaneously undergoing a major transformation to improve care and the patient experience. In a hospital setting, cost-reduction is often equated with cutting corners, and so is perceived as antithetical to care providers’ values, and typically creates high levels of employee and patient dissatisfaction. Resetting a health system’s cost structure also implies greater centralization and standardization, which goes against the grain of local facility leaders and clinicians.