OBBBA Tuesdays: Mitigating Regulatory Impacts – State-Directed Payments
November 4, 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.
The OBBBA caps state-directed payments (SDPs) at the Medicare rate in expansion states and at 110% of the Medicare rate in non-expansion states. Therefore, hospitals need to explore all strategies for increasing Medicare payment rates. In the final session of our series, Mitigating Regulatory Impacts – State-Directed Payments, we will cover strategies to:
- Optimize Medicare Area Wage Index (AWI).
- Increase Medicare Indirect Medical Education (IME) funding.
- Improve accuracy of Medicaid disproportionate share hospital (DSH) surveys.