Beyond Budget Cuts: Rethinking Health System Strategy for Long-Term Sustainability

Dan DeBehnke, MD

Nov 7, 2025

Healthcare Administration Leadership & Management Journal

Volume 3, Issue 6, Pages 289-290

https://doi.org/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.

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