Forward-looking healthcare systems aren’t waiting for conditions to stabilize. They are moving deliberately toward strategic partnerships that position them for long-term relevance and resilience.

With an estimated $1 trillion in healthcare-related spending reductions, the One Big Beautiful Bill could significantly disrupt the U.S. healthcare system. Flourishing in the face of uncertainty will require focus on four imperatives: margin transformation, care delivery realignment, structural resilience and technological enablement.

Hospital and health system executives and board members are currently confronting financial and operational uncertainty on multiple fronts—and the constant barrage of changing information can be overwhelming.

Forward-thinking practices should consider succession planning long before they think they need to. Those that do will continue to grow, attract new physician talent, satisfy the needs of retiring physicians and, ultimately, continue to benefit their patients and communities.

The healthcare industry will see roughly $1 trillion in federal spending cuts over the next decade now that H.R. 1—better known as the One Big Beautiful Bill Act—has been signed into law.

In light of Medicaid cuts in the now-signed OBBB becoming law, this week’s graphic highlights a prominent use of Medicaid.

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