Hospital finance leaders have beaten back 340B payment cuts, site-neutral reimbursement and Medicaid rollbacks before. They have never had to model all three landing in the same fiscal year.
That is the challenge in front of them now.
CMS’ proposed 2027 outpatient rule, released July 2, would cut billions from 340B drug payments and push site-neutral rates into imaging. Medicaid work requirements under HR 1 also take effect in 2027, when coverage losses are expected to accelerate. Large, for-profit health systems have already acknowledged underestimating the impact of the ACA enhanced premium tax credits’ expiration on their 2026 results. And the Health Resources and Services Administration’s revised 340B rebate pilot is set to go live Jan. 1, 2027.
Source: Hospitals already losing money are about to lose more / Becker’s Dental