The 11.1% Squeeze: How Medical Practices Are Fighting Rising Operating Costs


Audit your overhead → Reclaim your margins → Bulletproof your practice’s future.

Running a medical practice has always been a balancing act between patient care and business logic. But lately, that balance is tilting in a dangerous direction. According to recent data from the MGMA (Medical Group Management Association), medical practices are reporting an average 11.1% increase in operating costs this year (2025-2026).

When your expenses climb by double digits, but your reimbursement rates stay flat (or even decrease), you aren't just working harder, you’re losing ground. This is "The 11.1% Squeeze." It’s the gap where your hard-earned profit is being swallowed by rising labor costs, supply chain inflation, and administrative friction.

But here is the good news: while you can’t control the economy, you can control how your practice responds to it. By targeting three specific areas, labor efficiency, merchant fees, and patient case acceptance, you can stop the bleed and actually grow your bottom line despite the squeeze.

Where the Money is Going: The Breakdown 📊

To fight a problem, you have to see it clearly. The surge in operating costs isn't coming from just one place. It is a multi-front assault on your revenue. Based on industry surveys from AMGA and MGMA, the cost increases generally fall into these buckets:


Graph 1: Typical Breakdown of the 11.1% Increase in Operating Costs (Labor: 65%, Supplies: 17%, Technology: 12%, Facilities/Other: 6%)

As the chart shows, labor is the primary driver. Finding, training, and retaining quality staff is more expensive than ever. This means your traditional way of handling administrative tasks, like the front desk, might be your biggest financial liability.

1. Tackling the Labor Crisis with AI 🤖

If 65% of your cost increases are tied to labor, the most logical solution is to reduce your reliance on manual labor for repetitive tasks.

Every time a phone call goes to voicemail, your practice loses money. In fact, many practices are suffering from what we call the $5,000 voicemail. When staff are overwhelmed, they miss calls. When they miss calls, potential patients go to the competitor down the street.

This is where an AI phone receptionist for small medical practices becomes a game-changer.

By implementing Clear Harbor Connect, you aren't replacing your team; you are giving them a "force multiplier." Our AI receptionist handles the routine, scheduling appointments, answering FAQs, and routing calls, so your human staff can focus on the high-value patient interactions that actually require a human touch.

Why this matters:

  • Reduced Overhead: You don't need to hire a second or third receptionist to handle peak call volumes.

  • Zero Missed Opportunities: Every call is answered 24/7.

  • Improved Retention: Your staff is less burnt out because the "busy work" is handled by the system.

You can learn more about how this works in our deep dive on why AI receptionists are becoming the healthcare standard.

2. Stopping the Silent Revenue Leak: Merchant Fees 💳

Most practice managers look at their merchant statement once a month, sigh at the total, and move on. They assume it is just the "cost of doing business."

This is a mistake.

Credit card processing is often one of the most significant stealth leaks in a medical practice. Between 2025 and 2026, as operating costs rose by 11.1%, processing fees also trended upward due to new "premium" card tiers and hidden markups.

If you haven't performed a hidden credit card fees analysis in the last 12 months, you are likely overpaying by thousands.

At Clear Harbor Group, we advocate for a "Merchant Advocacy" approach. We don't want you to go through the headache of switching your software or hardware. In fact, we specialize in helping practices get leveled up without switching processors.

We look for opportunities for zero fee credit card processing for professional services, where the cost of processing is shifted away from your margins and back into your practice’s growth fund.


3. Boosting Case Acceptance with Flexible Financing 💰

When your costs go up, your patients’ costs are likely going up, too. High-deductible plans and general inflation mean that many patients are delaying necessary procedures because they can’t afford the upfront cost.

If your practice only offers "cash or credit," you are leaving money on the table. You need affordable patient financing options for medical procedures to bridge the gap.

Through Clear Harbor Capital, we provide access to a network of 80 lenders. This isn't your standard, high-barrier financing. This is a platform that allows you to offer patient payment plans that increase case acceptance without your practice taking on the credit risk.

What This Is:

  • A way to get your full fee upfront while the patient pays over time.

  • A tool to say "yes" to more patients who need elective or non-covered procedures.

  • A simple digital application process that takes minutes.

What This Is NOT:

  • A way for your practice to become a "bank" (the lenders take the risk, not you).

  • A complicated, manual system that bogs down your billing department.

3 Steps to Audit Your Practice This Week 📝

You don't have to overhaul your entire business in a day. Start with these three steps to combat the 11.1% squeeze:

  1. Request a Merchant Audit: Pull your last three months of processing statements. Look for "non-qualified" fees or "service charges" that don't make sense. If you're not sure what you're looking at, be the practice hero and let a pro look at it for you.

  2. Evaluate Your "Phone Friction": Have a friend call your practice at 11:45 AM or 4:45 PM. See if a human answers. If they don't, you are losing revenue to a "Digital Front Door" problem.

  3. Review Your Financing Denial Rate: Look at how many patients walked away from treatment plans last month. If more than 20% cited "cost" as the reason, you need to expand your financing options.

Final Thoughts

The 11.1% increase in operating costs is a wake-up call. The practices that survive and thrive in 2026 won't be the ones that work the longest hours: they will be the ones that use the smartest systems.

Whether it is reducing your merchant fees, automating your front desk, or providing better financing, the goal is the same: protecting your margin so you can keep focusing on what you do best: caring for patients.

Ready to see where your leaks are?
[Schedule a 20-minute Margin Analysis with our team. Educational • No-pressure • Obligation-free]

Sources



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The Case for 80 Lenders: Why Your Practice Outgrows CareCredit and Cherry

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Beyond the Decline: Affordable Patient Financing Options for Medical Procedures