Published in Repertoire Magazine
The 2025 Budget Reconciliation Act, widely known as the One Big Beautiful Bill Act (OBBBA), includes sweeping changes for hospitals, payers and patients. For many providers, the legislation lands at a precarious moment: Hospital margins, already squeezed since the pandemic, continue to face pressure from rising costs, reimbursement challenges and shifting payer dynamics.
Premier’s Tamyra Porter, Managing Director-Regulatory Practice Lead, Advisory Services, and Seth Edwards, Managing Director of Strategy, Innovation, and Population Health, weighed in on what the OBBBA means for health systems in an article published by Repertoire Magazine. Porter highlighted the dual challenge of rising supply chain costs and workforce shortages, noting that data-driven strategies are critical for balancing cost and quality. Edwards added that revenue optimization is increasingly urgent, with many systems exploring deeper moves into value-based care to offset negative margins. Both agreed that the Centers for Medicare & Medicaid Services’ (CMS’s) push toward risk-based contracts and initiatives such as the agency’s AHEAD Model will accelerate this transformation, making proactive planning essential for long-term sustainability.
Read the full article.
