OBBBA Tuesdays: Overview & Implications for Healthcare Providers
August 26, 2025
Online Only
Join the Forvis Mazars US Healthcare team every other Tuesday, beginning on August 26, for our new series covering the One Big Beautiful Bill Act (OBBBA). Our professionals will break down what this legislation means for healthcare providers and share actionable guidance to help you navigate what’s next.
In the first session of our series, OBBBA Tuesdays: Overview & Implications for Healthcare Providers, we will summarize key healthcare provisions of the OBBBA and when they take effect. The session will cover:
Changes in:
- Medicaid Financing: Provider taxes, state-directed payments (SDPs), FMAPs (expansion incentive, emergency Medicaid for undocumented individuals)
- Medicaid Eligibility: Work requirements for the expansion population, more frequent redeterminations, changes in retroactive eligibility
- Exchange Enrollment and Eligibility: Shortened open enrollment, reduced opportunities for special enrollment periods (SEPs)
- Federal Deficit: Medicare Statutory Pay-As-You-Go (S-PAYGO) sequester triggered
- Rural Health Transformation Fund: $50 billion over five years allocated to states that apply
Margin implications and strategies for hospitals and health systems to respond:
- Reduced Medicaid/Medicare Payments: Organizations can respond by rationalizing cost structure and exploring growth opportunities
- Increased Uninsured/Uncompensated Care: Organizations can respond by improving front-end revenue cycle processes to connect patients with other sources of coverage or financial assistance
- Second-Order Impacts: Organizations can respond by protecting Medicare disproportionate share hospital (DSH) and 340B eligibility and increasing Medicare fee-for-service (FFS) payments for hospital services