[Summary] FY2026 Medical Fee Revision – Radical Reform Needed for Regional Hospital Management – Medical Tribune

The FY2026 Medical Fee Revisionis expected to compel fundamental reforms for the management of hospitals supporting regional healthcare. In particular,stricter facility standardsやand revisions to nursing staffing ratioscould significantly impact the revenue structure maintenance and enhancement for individual medical institutions, especially small to medium-sized hospitals and clinics.

In such an environment,Medical M&A and Business Successionemerges not merely as a solution for succession issues, but as a crucial strategic option for management. By collaborating or integrating multiple medical institutions,economies of scalecan be pursued, allowing for the maintenance of facility standards and the distribution of the burden of high-cost capital investments.The utilization of frameworks such asRegional Medical Collaboration Promotion Corporations

should also be considered in conjunction with M&A and business succession as part of a management strategy aligned with the revision's objectives. Medical institution executives and potential successors must closely monitor trends in medical fee revisions and objectively assess their institution's revenue structure and future financial strength. Even if standalone survival is challenging, early consideration ofbusiness succession optionssuch as mergers or group formations can lead to the continuity of regional healthcare and the establishment of a more robust management foundation. For instance, exploring tax schemes with a view to transitioning to specific medical corporations or social medical corporations, when pursued concurrently with the M&A and business succession process, may yield more favorable terms.