DOTmed November 24, 2025
U.S. health systems are staring down a dark tunnel of unprecedented financial pressure. The recently passed “One Big Beautiful Bill Act” proposes over $1 trillion in Medicaid cuts and tighter ACA eligibility requirements, a combination that the Congressional Budget Office projects could leave 15 million Americans uninsured. For health systems already grappling with stagnant reimbursement rates, rising labor costs, and a surge in uncompensated care, the central question has become unavoidable: “Where is our revenue going to come from?”
The patient affordability crisis
The lack of patient access to affordable care is unfolding on multiple fronts. Health systems are juggling reduced payments from public and private insurers while staffing, medications, and supplies costs surge due to inflation. This squeeze creates...







