The Heart of Healthcare | A Digital Health Podcast What The One Big Beautiful Bill Means For Digital Health | Marwood Group Managing Director Joseph Mercer
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Aug 4, 2025 Joseph Mercer, Managing Director at Marwood Group and a healthcare policy expert, dives deep into the One Big Beautiful Bill Act, the most significant healthcare legislation since the ACA. He discusses the dramatic changes to Medicaid, the implications for rural hospitals, and the challenges states face with new policy adaptations. Mercer highlights the looming expiration of ACA subsidies and the operational opportunities for tech in patient engagement. His insights illuminate how this legislation could impact millions, particularly the vulnerable populations relying on existing coverage.
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Bill's Huge Impact
- The One Big Beautiful Bill is arguably the biggest healthcare legislation since the ACA.
- It brings significant changes in coverage, funding, and Medicaid work requirements affecting millions.
Who Benefits?
- Republicans, especially those seeking Medicaid changes, view the bill as a win.
- Hospitals are unhappy short term but could benefit from delayed implementation and lobbying opportunities.
Near-Repeal of ACA Coverage
- The bill effectively pulls back key ACA expansions and Medicaid coverage.
- Coverage losses could range from 4 to 7 million people, making it close to a repeal.