From staffing pressures to shifting reimbursement models and rising supply costs, two leaders joined Becker’s to discuss the hardest costs to manage. Question: What areas of cost control are the hardest to manage while maintaining quality care? Director of an Investment Bank TM Capital’s Healthcare Practice: Staffing and reimbursement pressures are the areas of cost control hardest to manage while maintaining quality care, in our view. Structured training programs like bootcamps and infection control training are essential but meaningfully add to overhead. Margin pressures are being exacerbated by reimbursement pressures.