Executives leading the largest for-profit health systems — Tenet Healthcare, HCA Healthcare, Community Health Systems and Universal Health Services — addressed upcoming federal policy risks tied to Medicaid and ACA subsidies during their third-quarter earnings calls.
The prospect of reduced Medicaid supplemental payments and the uncertain future of enhanced ACA premium tax credits has put policymakers and providers alike on edge. While the outlook remains unsettled, each system offered early views on how they are preparing.
HCA Healthcare
Nashville, Tenn.-based HCA raised its full-year 2025 guidance, partially due to favorable supplemental Medicaid payments, but emphasized that new approvals still pending with CMS were not yet reflected in projections.
Executives highlighted three states with applications under review: Florida, Georgia and Virginia.
Source: How Tenet, HCA, CHS and UHS are preparing for Medicaid, ACA changes / Becker’s Hospital Review