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Donna Harvin‑Graham, MBA

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Donna Harvin‑Graham is a patient advocate.

The silent burden in health care and administrative waste

Donna Harvin‑Graham, MBA
Conditions
May 4, 2026

In every operational environment I have worked in, labor is visible. It is assigned, measured, and supported. Health care is the only sector where the system routinely generates work it does not staff, does not track, and does not claim. Instead, that work is absorbed by patients, clinicians, and caregivers who carry it because the alternative is delay or failure. This quiet transfer of labor is what I call the …

Read more…

The silent burden in health care and administrative waste

The Silent Variance: How patient friction destroys health care revenue

Donna Harvin‑Graham, MBA
Conditions
March 28, 2026

As health systems move into the 2026 fiscal year, CFOs and hospital boards have already approved their operating budgets. Capital is set aside for oncology expansions, MRI upgrades, and EHR enhancements. Revenue projections are built on patient volume, reimbursement assumptions, and clinical trial enrollment targets.

On paper, the math works. The P&L looks stable.

After more than 20 years in enterprise operations and financial systems, I know budgets fail long before the …

Read more…

The Silent Variance: How patient friction destroys health care revenue

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  • Most Popular

  • Past Week

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      Sidney J. Winawer, MD | Physician
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