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The Economics of Nursing

The money, math, and systems behind nurse staffing and patient safety, and the errors that quietly leave nursing under-resourced.

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What Is Nursing Care Worth?

Discussions around "What is a nurse worth?" are missing the larger question.

CMS Asked What Care Costs. You Already Know.

I filed a comment on Medicare's 2027 fee schedule. Here is what you need to know to post your own.

Shift bidding for nurses isn't new. Nobody has asked why the open shifts exist.

Hospitals have been auctioning open shifts since 2001. Few have examined why there are enough of them to need a system.

One Root, Many Names: What the ANA's Fatigue Statement Leaves Out

The ANA's new fatigue statement sets moral fatigue, compassion fatigue, and burnout aside. They are the same problem with the same root.

Patients per Nurse Is Not Care per Patient

The care a patient actually receives depends on hours the ratio never counts, and on a payment model that treats those hours as a cost to cut, not a service to fund.*

Nursing Just Proved It Can Mobilize. The Next Move Is Upstream.

A federal court just handed nursing a rare, coordinated win. But the loan-limit fight is a symptom, and the deeper leverage is in how nursing is counted and funded.

The DOE Didn't Undervalue Nursing. The Reimbursement Structure Did.

Nursing's exclusion from the RISE rule is a symptom of how nursing is paid, not how it is valued.

What the Challenger Disaster and Nurse Staffing Have in Common

A root cause analysis of normalization of deviance in nursing finance

Podcast: The 66-year-old math error quietly causing nurse understaffing

Today is International Nurses Day.

Becker's covers the middle-school math error at the heart of many nursing budgets. More coming.

On April 30, Becker’s Healthcare published a four-point breakdown of the staffing formula error I documented in April. KFF Health News covered it in their newsletter.