5 Key Takeaways on Medicaid Policy Changes From Savista’s Chief Strategy Officer

AJMC August 15, 2025
Hayden E. Klein, Laxmi Patel, Laura Joszt, MA

Laxmi Patel, chief strategy officer at Savista, outlines major impacts of the “One Big Beautiful Bill” Act on Medicaid and what hospitals can do to prepare for these changes.

Sweeping changes to Medicaid eligibility and coverage are on the horizon if proposed actions under the federal Budget Reconciliation Act take effect.¹ According to Laxmi Patel, chief strategy officer at Savista, the reforms under the “One Big Beautiful Bill” Act signed into law July 4, 2025, will significantly alter the way hospitals, health systems, and patients interact with the program, with ripple effects likely to be felt most by vulnerable communities.

From new work requirements to reduced retroactive coverage and stricter documentation, Patel emphasized that these provisions will not only impact...

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