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large and complex assemblage of interdependencies. Any change to one part could create multiple, hard-to-predict effects throughout the system. When making changes to a fragile system that serves so many, the watchword should be caution.

Possible limitations on state directed payment programs could have a significant impact on many hospitals’ bottom line. Organizations should act now to model the impact and identify steps that could help mitigate it.

The challenges that hospitals and health systems currently face are amplifying this complexity, from uncertainty about potential changes to federal healthcare policy—including Medicaid and NIH funding cuts and tariffs—inflation, and ongoing workforce challenges.

CBO report on OBBB, Aidoc secures financing, ACA premiums to spike

Multi-year health plan products have the potential to change a lot about how healthcare business models work today.

Balance sheet strength has buffered consumers and businesses from some of the restrictive shock of higher rates. With a relatively brittle revenue model in healthcare, the focus becomes whether, when, and how to restructure operations as balance sheets are spent down.