Hospital & Health System Finance

Key Takeaways CMS finalized the FY 2027 IPPS rule on July 31, 2026, setting a 2.3% payment rate increase for hospitals that meet quality reporting and EHR requirements CJR-X — a nationwide, mandatory expansion of the Comprehensive Care for Joint Replacement model — starts January 1, 2028, and will apply to nearly every acute care hospital performing hip, knee, or ankle replacements CJR-X carries two-sided financial risk: hospitals can earn reconciliation payments or owe CMS a

The One Big Beautiful Bill Act (OBBBA) isn't just another policy shift — it's a financial earthquake reshaping healthcare revenue cycles across America. With $68.5 billion in projected hospital revenue losses over 2026-2027 and an average impact of $16.1 million per facility, healthcare CFOs face their most challenging margin environment in decades. But while most organizations scramble to react, forward-thinking hospitals are discovering that physician-led revenue cycle mana