The Big “Beautiful” Bill

The volume of concern around the “Big Beautiful Bill” is unlike anything I’ve seen. My inbox is full of questions from operators, billing managers, and MDS coordinators: “How is this going to affect our bottom line?”

For the average SNF, Medicaid accounts for 59% of total revenue. Given that 80% of facilities already are operating in the red or right above it, the state of concern hasn’t surprised me.

If you missed it, here’s what’s changing:
1. Retroactive Medicaid eligibility is shrinking from 90 days to only 30
2. A $1T cut to Medicaid means fewer long-term stays
3. Patients have stricter eligibility requirements – with ~12M losing coverage

When it comes to billing and reimbursement, the margin for error is just about gone.

But here’s the positive: this field is incredibly resilient. I’ve seen facilities building faster workflows, triple-checking claims, and doubling down on tech to flag problems before they occur. As the pressure mounts, SNF’s will be ready.

As always, our next Hopforce Summer School session will dig deeper into these strategies. In the meantime – don’t go at it alone.