HCA Healthcare's payer mix headwinds are intensifying as more patients lose health insurance exchange coverage. The company estimates the shift toward uninsured volume reduced second-quarter 2026 income before taxes by about $400 million, the company said. That figure includes a $75 million upward revision to its first-quarter estimate of the exchange impact. The driver is patients who lost coverage on health insurance exchanges, adding to an already challenging payer environment. HCA's full-year estimate for the exchange-related hit now ranges from $1 billion to $1.2 billion, up from $600 million to $900 million previously
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July 14, 2026 08:45 ET (12:45 GMT)
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