Navigating the One Big Beautiful Bill

Understand the impact of this transformative healthcare legislation and how Vizient supports your path forward.

What does the One Big Beautiful Bill mean for hospitals?

The One Big Beautiful Bill (OBBB) is reshaping Medicaid, insurance access and health system reimbursement across the U.S., but what does it mean for your organization? Vizient can provide strategic guidance and real-time support to help health systems remain financially sound, operationally agile and mission aligned.

Four imperatives health systems must address to thrive under OBBB

The One Big Beautiful Bill marks a pivotal change in U.S. healthcare, reshaping Medicaid funding, coverage access and reimbursement models. As the effects unfold, hospitals and health systems face growing uncertainty across margins, workforce dynamics and state policy variation.

To help providers respond with clarity and confidence, Vizient has identified four critical imperatives: margin transformation, care delivery realignment, structural resilience and technology enablement. Each imperative addresses a key challenge and offers a path forward. Explore how Vizient can help your organization navigate what’s next—strategically and decisively.

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> $1T
Reduction in federal outlays over 10 years from 2025 to 2034
Source

Vizient support for structural healthcare reform: The four imperatives that will define the future

Have questions about the One Big Beautiful Bill? We can help you navigate its impact with expert insights, guidance and resources tailored to your organization’s needs.

Margin transformation

Health systems must pursue margin transformation by optimizing internal costs, aligning strategy with financial planning and modernizing payment approaches. This includes enhancing operational efficiency, rationalizing service lines, refining payer strategies and fully leveraging technology to drive sustainable financial performance.

Margin transformation

Speak with our team of experts to learn more