This OPEN MINDS Executive Roundtable was delivered on June 5, 2025, by Mainstay Life Services Chief Financial Officer, Jodie Esper. She discussed how her team streamlined service delivery, reduced unit costs, and improved both care outcomes and bottom-line results.

This session also explored how Mainstay projected sustainable service costs by aligning operations with real-time consumer needs—and how they used that data to strengthen their position in contract negotiations. Ms. Esper explained how these strategies are integrated into budgeting, strategic planning, and daily operations to ensure continued success.

Executive attendees learned:

How to reduce unit costs without sacrificing . . .

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Performance & Financial Management

The performance and financial management of health and human service provider organizations depends on several factors, including quality measures, staffing models, and the organization’s overall internal processes such as revenue and billing cycles and unit costs. As the market shifts from volume to value, provider organizations face new challenges for financial viability and revenue maximization. Provider organizations must consider their performance, liquidity, risk tolerance, leverage, efficiency, and portfolio balancing to ensure optimal financial management and long-term sustainability as the market shifts away from fee-for-service models to value-based reimbursement.


U.S. non-profit organizations eliminated almost 29,000 jobs in 2025, up from 5,640 in 2024. The recent analysis, Job Cuts Fall To Lowest Level In 17 Months; Highest December Hiring Since 2022, revealed the non-profit sector layoffs were part of a larger trend. In 2025, U.S. employers announced 1,206,374 job cuts, an increase of 58% from the 761,358 announced in 2024. This puts annual job cuts at the highest level since 2020 and it is seventh-highest annual… Read