Addressing Variability and Preparing for the Future

The recently signed One Big Beautiful Bill Act (OBBBA) is set to impact the healthcare industry, bringing about changes to Medicaid, Medicare, and the Affordable Care Act. To help you navigate these changes, we've prepared this piece to better understand the Act's implications.

The OBBBA introduces key provisions such as work and community engagement requirements for Medicaid beneficiaries, increased eligibility checks, and cost-sharing measures for certain Medicaid recipients. Medicare will see a moratorium on a rule easing enrollment into Medicare savings programs and a one-time increase in the Medicare physician fee conversion factor. The Affordable Care Act will experience changes in premium tax credit eligibility and verification processes.

To adapt to these changes, healthcare organizations are advised to develop state-specific strategic plans, reduce administrative costs, modernize their back-office systems, and optimize their real estate plans. Proactive adaptation to financial pressures, continuous monitoring, and stakeholder communication are also crucial.