MedCity News January 20, 2026
Itzik Cohen

Hospitals have an opportunity to make strategic changes now that can better position both their organizations and their patients for what’s ahead. Here’s what to expect and where to focus next.

Healthcare affordability has been a growing concern for years. As costs continue to shift to patients through rising premiums, coinsurance, and the widespread use of high-deductible health plans (HDHPs), more Americans are finding themselves underinsured and expected to pay thousands of dollars before their insurance kicks in.

The recently passed Big Beautiful Bill will accelerate the affordability crisis. The legislation includes $1 trillion in federal Medicaid spending cuts over the next decade, with an estimated 10 million people expected to lose coverage. Hospitals serving high volumes of Medicaid...

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