Despite pressure to make healthcare more affordable, Kaufman Hall’s 2017 survey of more than 150 senior hospital executives found that meaningful cost reductions and the associated organizational changes are largely missing. The report, 2017 State of Cost Transformation in U.S. Hospitals: An Urgent Call to Accelerated Action, indicates healthcare leaders understand the need for significant cost savings, but many have not set aggressive multiyear goals or implemented cost-reduction strategies. Kaufman Hall recommends aspiring to savings of 25-30 percent over a five-year period.