How is OBBBA Reshaping Healthcare Legislation and Revenue Cycle Management?

Preparedness for OBBBA

Takeaway: Most respondents are still seeking guidance, emphasizing the need for clear, actionable resources.

Neutral:  55.47%

Somewhat prepared:  18.98%

Not prepared at all:  12.41%

Not very prepared: 10.95%

Very prepared:  2.19%

Total Responses: 137

Projected Financial Impact into FY 2028

Takeaway: Uncertainty about financial impact is widespread, highlighting the importance of robust financial planning.

Unknown: 50.00%

-1% to -5% Operating Margin: 27.08%

-6% to -10% Operating Margin: 15.28%

> -10% Operating Margin: 6.94%

< -1% Operating Margin: 0.69%

Total Responses: 144

Most Significant OBBBA Provision

Takeaway: State-directed payments are the top concern, requiring focused strategies.

State Directed Payments: 58.17%

Work Requirements: 19.61%

Provider Taxes: 13.07%

Unknown: 9.15%

Total Responses: 153

Top FY 2026 Priority

Takeaway: RCM optimization and payer relations are the leading priorities for healthcare leaders.

Optimizing RCM and Payer Relations: 36.59%

Unknown: 29.27%

Diversifying/Expanding Revenue Streams: 17.07%

Consolidating Vendors/Managing Expenses: 11.38%

Reducing Workforce: 5.69%

Total Responses: 123