A discussion with Jonathan Palisoc, University of Michigan PhD in Health Economics

​The One Big Beautiful Bill Act’s work requirements for Medicaid are getting most of the attention, but health economist and Medicaid Expert Jonathan Palisoc sees a much larger impact to hospital and health system bottom lines coming from the changes to the provider tax and state directed payment programs.

​Martin and Jonathan discuss how the programs work today, how they’re changing, and what it means for hospital and health system finances starting in 2028.