Achieving Health

Washington Watch: Reconciliation Update, Exchange Enrollment Drops

Host Chad Mulvany breaks down the most critical healthcare policy and legislative updates for the week of May 13, 2026. In this episode we examine recent reconciliation legislation in Congress and unpack what a future package could mean for healthcare organizations. Chad also dives into fresh data showing declining enrollment in state ACA exchange marketplaces and its direct impact on the uninsured rate. Key topics in this episode include: * Congressional Action: How upcoming reconciliation packages may impact healthcare organizations * ACA Marketplaces: New data on declining state exchange enrollment and shifts in the uninsured rate * 340 Litigation: The latest developments in a pivotal federal court case * Hospital Affordability: Essential takeaways from the recent House Ways and Means Committee hearing Tune in to stay ahead of the policies shaping the future of healthcare. Learn more about the show [https://www.forvismazars.us/our-thinking/achieving-health-podcast?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Subscribe to healthcare FORsights [https://www.forvismazars.us/subscribe?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]™ to receive tailored sector insights directly to your inbox. Related content: * Federal Government Appeals 340B Child Site Ruling [https://www.forvismazars.us/forsights/2026/05/federal-government-appeals-340b-child-site-ruling] * How Does Site Neutrality Affect Your Facility Master Plan? [https://www.forvismazars.us/forsights/2026/03/how-does-site-neutrality-affect-your-facility-master-plan] Download our Healthcare Market Point of View: Achieving Health [https://www.forvismazars.us/forsights/2025/01/achieving-health-our-healthcare-market-point-of-view?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Download our Mindsets 2026 Healthcare Executive Leadership Report [https://www.forvismazars.us/forsights/2026/02/mindsets-2026-healthcare-executive-leadership-report?utm_source=achieving_health&utm_medium=podcast&utm_campaign=con_hcc_mindsets_2026]. Questions? Contact us [https://www.forvismazars.us/contact-us?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Connect on LinkedIn: Healthcare Practice at Forvis Mazars [https://www.linkedin.com/showcase/forvismazars-healthcare] Chad Mulvany [https://www.linkedin.com/in/chad-mulvany-23b9724/]

Finance Leadership in a Complex System: Michael Nuñez, UMCEP

Join host Chad Mulvany for a conversation with special guest Michael Nuñez, district chief financial officer of El Paso County Hospital District. Michael provides valuable perspectives drawn from his experience guiding a complex health system that includes University of Medical Center of El Paso (UMCEP), a health plan, a children’s hospital, and various entities across the county. Hear his thoughts on: * Navigating regulatory impacts on health system finances. * Achieving operational and financial alignment between entities that include hospitals and a system-owned health plan. * Preparing the next generation of healthcare financial leaders. Learn more about the show [https://www.forvismazars.us/our-thinking/achieving-health-podcast?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Subscribe to healthcare FORsights [https://www.forvismazars.us/subscribe?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]™ to receive tailored sector insights directly to your inbox. Download our Healthcare Market Point of View: Achieving Health [https://www.forvismazars.us/forsights/2025/01/achieving-health-our-healthcare-market-point-of-view?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Download our Mindsets 2026 Healthcare Executive Leadership Report [https://www.forvismazars.us/forsights/2026/02/mindsets-2026-healthcare-executive-leadership-report?utm_source=achieving_health&utm_medium=podcast&utm_campaign=con_hcc_mindsets_2026]. Questions? Contact us [https://www.forvismazars.us/contact-us?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Connect on LinkedIn: Healthcare Practice at Forvis Mazars [https://www.linkedin.com/showcase/forvismazars-healthcare] Chad Mulvany [https://www.linkedin.com/in/chad-mulvany-23b9724/]

Washington Watch: 2027 CMS IPPS Rule & the CJR-X Model

Join host Chad Mulvany as he shares the latest healthcare policy and legislative updates for the week of April 29, 2026. First, he explores key provisions of CMS’ 2027 Inpatient Prospective Payment System (IPPS) proposed rule and how they may affect healthcare organizations in the years ahead. Michael Wolford, principal in the Healthcare Consulting practice at Forvis Mazars, joins for a closer look at the Comprehensive Care for Joint Replacement Expanded (CJR-X) Model, a mandatory bundled payment model included in the IPPS rule that would apply to more than 2,500 hospitals. Chad also explores trends in hospital deals and patient cost sharing. Learn more about the show [https://www.forvismazars.us/our-thinking/achieving-health-podcast?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Subscribe to healthcare FORsights [https://www.forvismazars.us/subscribe?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]™ to receive tailored sector insights directly to your inbox. Related content: * CMS’ 2027 IPPS Updates: What Hospitals Should Know [https://www.forvismazars.us/forsights/2026/04/cms-2027-ipps-updates-what-hospitals-should-know] * Webinar: Value-Based Care: Top Trends & Market Perspectives [https://www.forvismazars.us/events/2026/04/value-based-care-top-trends-market-perspectives] Download our Healthcare Market Point of View: Achieving Health [https://www.forvismazars.us/forsights/2025/01/achieving-health-our-healthcare-market-point-of-view?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Download our Mindsets 2026 Healthcare Executive Leadership Report [https://www.forvismazars.us/forsights/2026/02/mindsets-2026-healthcare-executive-leadership-report?utm_source=achieving_health&utm_medium=podcast&utm_campaign=con_hcc_mindsets_2026]. Questions? Contact us [https://www.forvismazars.us/contact-us?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Connect on LinkedIn: Healthcare Practice at Forvis Mazars [https://www.linkedin.com/showcase/forvismazars-healthcare] Chad Mulvany [https://www.linkedin.com/in/chad-mulvany-23b9724/] Michael Wolford [https://www.linkedin.com/in/michael-wolford-b018404/]

Washington Watch: 2027 CMS Facility Rules, MA Rates

Join host Chad Mulvany as he shares the latest healthcare policy and legislative updates for the week of April 15, 2026. First, he shares updates from the latest round of CMS rulemaking, including proposed rules for skilled nursing facility (SNF), inpatient rehabilitation facility (IRF), and inpatient psychiatric facility (IPF) payments in fiscal year 2027. Then, he explores the finalized Medicare Advantage (MA) rates for 2027, a lawsuit related to the 340B program, and insights from new data on insurance exchange enrollment, claim denials, and rural hospital financial performance. Learn more about the show at forvismazars.us/AchievingHealthPodcast [https://www.forvismazars.us/our-thinking/achieving-health-podcast?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Subscribe to Healthcare FORsights [https://www.forvismazars.us/subscribe?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]™ to receive tailored insights on the healthcare sector directly to your inbox. Related content: * Managed Care Denials: Trends & Steps to Mitigate [https://www.forvismazars.us/forsights/2025/12/managed-care-denials-trends-steps-to-mitigate] * Navigating Denial Management: Strategies for Financial Resilience [https://www.forvismazars.us/forsights/2025/10/navigating-denial-management-strategies-for-financial-resilience] * Navigating 340B: Operational Strategies to Manage Regulatory Change [https://www.forvismazars.us/events/2026/04/navigating-340b-operational-strategies-to-manage-regulatory-change] Download our Healthcare Market Point of View: Achieving Health [https://www.forvismazars.us/forsights/2025/01/achieving-health-our-healthcare-market-point-of-view?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Download our Mindsets 2026 Healthcare Executive Leadership Report [https://www.forvismazars.us/forsights/2026/02/mindsets-2026-healthcare-executive-leadership-report?utm_source=achieving_health&utm_medium=podcast&utm_campaign=con_hcc_mindsets_2026]. Questions? Contact us [https://www.forvismazars.us/contact-us?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Connect on LinkedIn: Healthcare Practice at Forvis Mazars [https://www.linkedin.com/showcase/forvismazars-healthcare] Chad Mulvany [https://www.linkedin.com/in/chad-mulvany-23b9724/]

Strategy Amid Uncertainty: Craig Thompson, CEO, GVMH

Join host Chad Mulvany and Jean Nyberg, partner in the Healthcare Practice at Forvis Mazars, for a conversation with special guest Craig Thompson, CEO of Golden Valley Memorial Healthcare, a rural provider organization based in Clinton, Missouri. Craig shares how his organization navigates strategic initiatives in an uncertain environment, including: * The One Big Beautiful Bill Act and other regulatory changes * Rural Health Transformation Program (RHTP) funding opportunities * Strategic partnerships with other rural healthcare providers Learn more about the show [https://www.forvismazars.us/our-thinking/achieving-health-podcast?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Subscribe to healthcare FORsights [https://www.forvismazars.us/subscribe?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]™ to receive tailored sector insights directly to your inbox. Related content: * Rural Health Transformation Program: Implications & Opportunities [https://www.forvismazars.us/forsights/2025/08/rural-health-transformation-program-implications-opportunities] * Rural Health Transformation Program FAQs: Subs & Contractors [https://www.forvismazars.us/forsights/2026/03/rural-health-transformation-program-faqs-subs-contractors] * Key Signs of Success for Clinically Integrated Networks (CINs) [https://www.forvismazars.us/forsights/2025/10/key-signs-of-success-for-clinically-integrated-networks-cins] Download our Healthcare Market Point of View: Achieving Health [https://www.forvismazars.us/forsights/2025/01/achieving-health-our-healthcare-market-point-of-view?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Download our Mindsets 2026 Healthcare Executive Leadership Report [https://www.forvismazars.us/forsights/2026/02/mindsets-2026-healthcare-executive-leadership-report?utm_source=achieving_health&utm_medium=podcast&utm_campaign=con_hcc_mindsets_2026]. Questions? Contact us [https://www.forvismazars.us/contact-us?utm_source=achieving_health_podcast&utm_medium=referral&utm_campaign=hc_podcast_platform]. Connect on LinkedIn: Healthcare Practice at Forvis Mazars [https://www.linkedin.com/showcase/forvismazars-healthcare] Chad Mulvany [https://www.linkedin.com/in/chad-mulvany-23b9724/] Jean Nyberg [https://www.linkedin.com/in/jean-nyberg-46348738/] Golden Valley Memorial Healthcare [https://www.linkedin.com/company/choosegvmh/] Craig Thompson [https://www.linkedin.com/in/craigthompson00/]