CLEVELAND, Ohio — Health system CEOs in Cleveland and across the country are facing numerous questions without clear answers, as they look ahead to the effects of the One Big Beautiful Bill Act, according to Becker’s Hospital Review.

In July, Congress passed nearly $1 trillion in Medicaid cuts over 10 years as part of President Donald Trump’s signature bill. The cuts could leave an estimated 11.8 million Americans without insurance, forcing hospitals to absorb more costs that were previously covered by Medicaid, according to analysts at UC Berkeley.

Proponents of the legislation argue the cuts will reduce fraud and ensure that only eligible individuals receive coverage. Critics warn hospitals will face mounting unpaid bills and may have to reduce services.

The severity of the financial

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