Trinity Health CEO details 'repositioning' plan after $1.6B HR 1 hit
Trinity Health CEO Mike Slubowski said federal changes under HR 1 will cost the Livonia, Mich.-based system about $1.6 billion over three years, with 80% of its business tied to Medicaid and Medicare. Speaking Nov. 3 at Becker's CEO + CFO Roundtable, he said the response, called "repositioning," goes beyond cost-cutting to include refining clinical service lines, expanding community-based care, and reducing administrative expense. Community-based services already make up 62% of revenue, with a goal of reaching at least 75% within three to five years. Catholic Health Association CEO Sister Mary Haddad, speaking alongside him, said hospitals will keep absorbing uncompensated care costs as patients lose coverage. Slubowski also described expansion of Trinity's PACE programs for dual-eligible older adults, AI tools for prior authorization, and said he would tell Congress it "blew it" on ACA and Medicaid cuts.