The Trump Administration and 119th Congress will likely be targeting trillions of dollars in savings in the year ahead. Healthcare makes up a significant portion of mandatory spending and therefore likely will be a large part of any cost-reduction effort. At the top of the list is Medicaid. Proposals could run the gamut, from changes in Medicaid provider tax rules to changes in eligibility requirements, per capita caps, and work requirements. Medicare cuts are also likely. While President Trump has taken cuts to Medicare benefits off the table, payment policies under consideration including Medicare site neutral payment reforms, 340B reform, and changes in Medicare Advantage (MA) payments.
We’ve compiled a list of possible healthcare options that could contribute to the cuts Republicans aim to make, including a sampling of the key healthcare policy options the Congressional Budget Office identified in its recent report titled “Options for Reducing the Deficit: 2025 to 2034.”