Hospitals face growing fallout from ACA coverage cliff

Becker’s Hospital Review – Tuesday, May 5, 2026
By Alan Condon

The warning signs were visible for months.

Enhanced ACA premium tax credits expired at the end of 2025, and insurers are pulling back from the ACA marketplace while enrollment composition shifts toward high-deductible bronze plans. Now, the knock-on effects of these moves are beginning to emerge as leaders from the largest for-profit health systems elaborated on first-quarter results.

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