The current policy environment is both highly uncertain and uniquely impactful on health system finances, with a wide range of potential changes ahead that will layer on top of recent disruptions. Regulatory proposals like Medicaid work requirements and site-neutral payments could decrease revenues, while executive action on tariffs and immigration enforcement could increase costs.

Health system leaders need to assess the impact of a range of different policies — and their severity — on their organizations. We propose a three-step model to size the range of potential impacts on your organization.