Since the Trump administration took office in January, healthcare policy has been moving quickly, with changes touching Medicaid funding, ACA subsidies, hospital finances and the federal government’s approach to health technology.

This week on "Podnosis," we’re bringing you a recording from a live roundtable at the Fierce Health Payer Summit on Dec. 4, where members of the Fierce Healthcare editorial team unpacked the policy and funding shifts already underway. The discussion covers Medicaid cuts and coverage losses, how hospitals are preparing for reduced government funding, CMS’ new health tech ecosystem and where PBM reform stands after years of scrutiny.

To learn more about the topics in this episode: 

• Crapo, Cassidy introduce ACA subsidy plan that leans on HSAs
• AHIP presses for ACA subsidy extension, further program integrity measures
• Medicaid work rules exempt the 'medically frail.' Deciding who qualifies is tricky
• When the hospital leaves town
• Many urban safety-net hospitals threatened by OBBBA's Medicaid cuts: analysis
• Industry Voices—3 major changes to Medicare Part B payment policies coming for 2026
• 'Come fight with me'—Oz courts physicians skeptical of Medicaid cuts, MAHA's criticisms
• KFF: States brace for increasing Medicaid costs even as enrollment stays flat
• All 50 states submit applications for $50B Rural Health Transformation Program
• The policies top of mind for healthcare stakeholders right now
• Hospital M&A continues to rebound as policy uncertainty clears