Managed Services

$100M+ in projected contract labor savings for a major health system

A large health system was spending heavily on premium agency labor across dozens of facilities with little visibility into rates or vendor performance. TotalMed built a vendor-neutral managed services program that put the system back in control.
Multi-hospital health system
$100M+
Projected multi-year savings
100%
Vendor spend under management
1
Unified rate structure system-wide

The Challenge

Fragmented, facility-by-facility agency contracts had driven premium labor spend to unsustainable levels. Leaders lacked a single source of truth for rates, fill performance, and quality across the system, making it nearly impossible to negotiate or forecast.

What We Did

  • Deployed a vendor-neutral Managed Service Program (MSP) to consolidate every agency relationship under one accountable partner.
  • Standardized bill rates and contract terms across all facilities to eliminate premium-rate outliers.
  • Introduced real-time reporting on fill rates, spend, and clinician quality for system leadership.
  • Aligned internal float pools and per diem resources before defaulting to premium travel labor.

Ready to See Results like These?

Let’s talk about the workforce challenges facing your organization and build a plan designed around your goals.

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