OBBBA

Medicaid provider tax proposed rule could cut payments by $220 billion over 10 years

A proposed rule from CMS implements anticipated changes to the system of provider taxes that help fund supplemental reimbursement in Medicaid. The changes are required under the One Big Beautiful Bill Act (OBBBA, also referred to as the Working Families Tax Cut legislation), with the proposed rule filling in details. The repercussions of the rule…

By Nick Hut July 22, 2026

Hospitals brace for Medicaid cuts, some resort to layoffs

Hospitals and health systems are responding to the OBBBA cuts by reducing staff and increasing revenue, while some are also pursuing mergers and acquisitions to improve efficiency and balance their budgets.

By Rich Daly November 25, 2025

Redesigning denials management in the OBBBA era

Under OBBBA, executives face denials as a continuous operational and financial pressure. Traditional reactive approaches — reviewing and appealing after denials occur — are no longer sustainable. The organizations that succeed in this new era will use predictive analytics, automation and disciplined processes to prevent denials before they happen. The problem with the traditional model For decades,…

By HFMA November 10, 2025

The shutdown continues, plus the latest on 340B

HFMA Senior Editor Nick Hut and HFMA Policy Director Shawn Stack discuss the latest in healthcare finance news.

By Erika Grotto November 3, 2025

Hospitals brace for looming federal cuts in Medicaid and elsewhere

The historic healthcare policy changes — and associated Medicaid cuts — in the One Big Beautiful Bill Act have left it to the states to figure out how to keep their residents insured and healthy with $1 trillion less in federal funding. With impacts of the One Big Beautiful Bill Act, or OBBBA, including a…

By Rich Daly September 30, 2025
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