Strategic Leadership Series: Financial and Operational Impact of the One Big Beautiful Bill for the Healthcare Industry

The proposed One Big Beautiful Bill (OBBB) represents one of the most ambitious attempts to reshape the U.S. healthcare system in decades. While political debate has centered on the ideological merits of the legislation, healthcare leaders are left to grapple with its practical realities: Coverage losses will likely push sicker, uninsured patients into emergency and charity care channels, intensifying clinical risk and cost pressures. Providers -- especially safety-net and rural systems -- will need to adapt workflows for stricter Medicaid eligibility checks and patient cost-sharing, requiring upgrades in revenue cycle management and staff training. Data and analytics capabilities will be essential to model exposure, track patient eligibility in real-time, and ensure compliance with new rules. Without strategic investment in infrastructure and processes, healthcare organizations face operational strain, heightened risk, and potential care disruption.

This Session Will Examine:

• OBBB as a Financial Turning Point: The proposed legislation rewrites the rules of reimbursement and government payer participation, introducing new risk-sharing models, rate adjustments, and stricter eligibility requirements that directly threaten margins if unaddressed.
• Government Programs in Flux: Changes to Medicare and Medicaid under OBBB shift more costs to providers and patients alike, requiring leaders to proactively reassess payer mix strategies and revenue forecasting.
• Positioning Your Organization for Competitive Resilience: Adapting to OBBB requires more than compliance, it demands innovation in cost containment, strategic partnerships, and care model redesign.
• Clinical Access and Quality Under Pressure: Coverage losses, higher patient acuity, and deferred care due to affordability concerns threaten not only financial sustainability but also clinical outcomes and patient safety.