Healthcare Administration Leadership & Management Journal
Beyond Budget Cuts: Rethinking Health System Strategy for Long-Term Sustainability
The 2025 Health Reform Act (HR1) strains hospitals by cutting Medicaid, DSH, and 340B access, requiring strategic shifts in services and payer approaches.
November/December 2025 Vol. 3, No. 6 pp. 289–290 DOI: 10.55834/halmj.8103088655
Abstract
The Health Reform Act of 2025 (HR1) has increased financial strain on hospitals by reducing Medicaid funding, tightening DSH eligibility, and limiting access to the 340B program. Addressing these challenges requires strategic transformation in access, service lines, and payer strategies, as short-term cuts won’t resolve structural pressures.
