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Infographic: 4 Rev Cycle Implications of Potential Policy Changes

Analysis  |  By Luke Gale  
   June 12, 2025

Provisions of the reconciliation bill currently being considered in Congress combined with expiration of Affordable Care Act tax credits would have significant implications for provider revenues.

Looming policy changes would have significant financial consequences for providers, according to an Urban Institute report funded by the Robert Wood Johnson Foundation. If changes to Medicaid currently under consideration in Congress go into effect and Affordable Care Act tax credits are allowed to expire, providers would see an estimated $1.03 trillion decline in revenue from 2025 to 2034. A surge in the number of uninsured individuals could also lead to a $278 billion increase in uncompensated care costs, according to the report. 

See some key figures from the report in the infographic below, or read more here

Luke Gale is the revenue cycle editor for HealthLeaders.


KEY TAKEAWAYS

Provider revenue would decline by more than $1trillion over ten years if proposed changes to Medicaid go into effect and Affordable Care Act tax credits are allowed to expire, according to an analysis from the Urban Institute. 

Hospitals would bear the greatest share of lost revenue at an estimated $408 billion over the ten-year time frame. 

The policy changes could also lead to more than 15 million more uninsured people, which would result in an estimated $278 billion increase in uncompensared care costs. 


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