Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated 7:33 AM MT
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Industry·July 27, 2026

HCA Reports ACA Exchange Patients Dropping Coverage at Near One-to-One Rate in Q2

HCA Healthcare reported in its second quarter earnings that patients who previously had coverage through Affordable Care Act exchanges are going uninsured at nearly a one-to-one rate. CEO Sam Hazen acknowledged the trend is negatively impacting the company's financials. The shift increases uncompensated care costs for the nation's largest hospital operator. While the article focuses on commercial exchange coverage loss, the trend signals broader coverage instability that could increase Medicaid eligibility and enrollment as patients lose marketplace plans.

Why it matters

Rising uninsurance from ACA exchange attrition may drive increased Medicaid enrollment as patients losing marketplace coverage become eligible for Medicaid, potentially affecting state budgets and managed care plan enrollment growth.

Managed Care · Finance

Read the full article at healthcaredive.com

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