Becker's Healthcare March 11, 2025
Alan Condon

As Congress debates the future of Medicaid funding, hospitals and health systems across the country face a looming financial crisis.

The potential rollback of federal support for Medicaid expansion could significantly hamper hospital revenue — particularly those serving rural or underserved communities — leading to substantial declines in hospital spending and increases in uncompensated care.

An analysis published March 11 by the Urban Institute and the Robert Wood Johnson Foundation highlights the states that would be most affected by Medicaid cuts and the implications for hospital leaders navigating an increasingly uncertain healthcare landscape.

Currently, the federal government covers 90% of the costs for Medicaid expansion enrollees in the 41 states (including Washington, D.C.) that have opted into the...

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