Pricing is tight. Sometimes we can find a few big savings opportunities but many times we are guarding against price increases in these inflationary times. Senior leadership is always looking to find new ways to reduce costs without having to face things like major layoffs or hiring freezes. Clinical supply utilization management (CSUM) is still a new element that has not yet been embraced by most health systems’ value analysis programs, but they should be considering it as a new way to save big beyond price.