Rural Hospitals and Medicaid: Preparing for Financial and Regulatory Changes

In this special policy-focused episode of The ASHHRA Podcast, co-hosts Bo Brabo and Luke Carignan welcome RxBenefits Strategic Hospital Advisor Sarah Hearn, MPH, healthcare policy expert Peggy Tighe, and 340B strategist Rhiannon Klein, for a timely conversation on what’s ahead for rural hospitals.

Together, they break down what’s happening on Capitol Hill and explain how proposed Medicaid reforms and 340B program challenges could impact hospital funding, drug access, and the sustainability of care for vulnerable populations.

This episode covers:

• The “Big Beautiful Bill” and its potential to reshape Medicaid eligibility and impose new work requirements
• The direct link between 340B savings and Medicaid policy, and what hospitals need to know about protecting both
• Why HR leaders must play an active role in policy discussions, cost containment, and interdepartmental collaboration
• Bright spots and strategic moves, including in-house pharmacy models and regional advocacy efforts like Community Voices 340B

Why This Matters for HR Leaders

HR leaders are in a critical position to help protect the benefits and funding sources their workforce depends on, and the decisions made about Medicaid and 340B will shape workforce wellbeing, benefit affordability, and long-term sustainability. With drug costs now comprising 9%-10% of hospital expenses, understanding the challenges ahead is essential to protecting your hospital, your team, and your community.

Listen now to gain policy insights and real-world strategies to help protect your workforce, your bottom line, and your community.

Discover more about 340B and access expert insights.

Check out how RxBenefits’ 340B tools can help covered entities maximize their savings.