HCA could lose $1B from ACA subsidy lapse, Medicaid state payment decline

Group 1 - The expiration of ACA subsidies is expected to significantly impact hospitals and providers, leading to increased premiums and loss of insurance for millions [3][4] - More than 24 million people enrolled in ACA plans last year, but the lapse of subsidies could result in providers losing over $32 billion in revenue this year [4] - HCA Healthcare, a major for-profit hospital operator, anticipates losses exceeding $1 billion due to the subsidy expiration and declines in Medicaid state supplemental payments [8] Group 2 - HCA could face losses between $600 million to $900 million from the subsidy lapse and an additional $250 million to $450 million from Medicaid payment declines [8] - The company is implementing a multi-year resilience plan to mitigate impacts and expects to offset about $400 million in losses this year [8] - HCA's guidance for full-year 2026 earnings is expected to be close to or exceed 2025 figures, which analysts consider conservative [8]