Run the Hospital Transition Fund

Years 1–5 · UHA regional officesDiscuss this step

Every concrete action this step requires, who is responsible, and when it happens relative to enactment.

#	Action	Owner	When	Trade-off
2.4.1	Compute each hospital's projected UHP revenue vs. its 2024 baseline revenue.	UHA	Year 0	Projecting revenue for each hospital targets help but relies on models hospitals will dispute.
2.4.2	Pay 75% of the shortfall beyond 5% in Year 1, tapering to 50%, 30%, 15%, and 0%.	UHA	Years 1–5	A taper limits cost but may be too fast for hospitals with high fixed costs.
2.4.3	Require each recipient to file a cost-alignment plan (admin reductions, service-line consolidation, executive compensation limits).	Hospitals	Year 1	Cost-alignment plans force restructuring but add reporting burden during a difficult transition.
2.4.4	Bar recipients from paying bonuses to executives above $1M while receiving funds.	UHA	Year 1+	Limiting executive bonuses improves fairness but may push talented executives out of struggling hospitals.