Alameda Health System warns HR1 could cut more than $100M a year; urges multi‑year planning
Alameda Health System officials told the County Health Committee that federal HR1 changes and potential Medi‑Cal disenrollments could reduce revenue by more than $100 million annually, urged multi‑year planning, and outlined operational steps — including EPIC integration at St. Rose — to improve cash flow and limit exposure.
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Alameda Health System (AHS) officials told the Alameda County Board of Supervisors Health Committee on Oct. 27 that federal changes commonly referred to as HR1 could sharply reduce hospital revenue over the next several years and urged coordinated, multi‑year planning with the county to manage cash‑flow risks.
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