Emergency Departments have long been the front door of the hospital — and the pressure valve for everything upstream and downstream. Yet today, EDs nationwide are facing unprecedented strain from growing patient volumes, staffing shortages, and downstream boarding challenges that ripple across the system.
Now, new policy shocks threaten to intensify these pressures, with an estimated 15 million people projected to lose Medicaid coverage by 2034 and turn to emergency care as their primary access point.
The financial stakes are staggering: $12 billion lost annually from ED boarding across the US, $10,000-$20,000 lost per patient on average from declined transfers, and $2,000 lost per patient per day from extended lengths of stay.
In this discussion, financial and operational leaders will share how they are aligning financial strategy, technology investments, and operational redesign to strengthen ED performance. Together, they’ll discuss how thoughtful coordination between finance and operations can reduce leakage, improve throughput, and create the stability hospitals need to weather growing access challenges.
Learning objectives:



Take the first step towards unlocking capacity, generating ROI, and increasing patient access.
If you work in the healthcare industry, or even if you’re just an interested observer, you don’t need a book to tell you that the financial pressure is on as never before. A perfect storm of circumstances is swirling together, one that will make survivability, not to mention profitability, a greater challenge for healthcare companies than we’ve seen in the modern era.
As with banks, retailers, and airlines, which had to rapidly enhance their brick-and-mortar footprints with robust online business models—it is the early movers eager to gain new efficiencies that will thrive and gain market share. The slow-to-move and the inefficient will end up being consolidated into larger health systems seeking to expand their geographical footprints.
Let’s look at just a few of the looming challenges healthcare must meet head-on.
An aging population
By the year 2030, the number of adults sixty-five years of age or older will exceed the number of children eighteen years or younger in the United States. We are living longer than our parents did. Positive news for sure, but problematic for several reasons.
The older we get, the more medical help we need. Older people have more chronic diseases. By 2025, nearly 50 percent of the population will suffer from one or more chronic diseases that will require ongoing medical intervention. This combination of an aging population and an increase in chronic diseases will create a ballooning demand for healthcare services.