Task 2.4.3 of 4
Require each recipient to file a cost-alignment plan (admin reductions, service-line consolidation, executive compensation limits).
Who does it
Hospitals
When
Year 1
Trade-off
Cost-alignment plans force restructuring but add reporting burden during a difficult transition.
Part of: Run the Hospital Transition Fund
Hospitals whose revenue falls more than 5% below baseline when commercial rates disappear receive temporary support that tapers to zero by Year 6, conditioned on cost-reduction plans.
This step changes 1 existing laws, programs, or institutions. See the list.