HCA Healthcare warns of greater-than-expected exchange disruption, lowers 2026 guidance

HCA Healthcare sent out a pre-earnings shockwave Tuesday morning with preliminary second-quarter results suggesting that coverage disruptions from the end of enhanced Affordable Care Act exchange s | The country's largest for-profit health system released preliminary second-quarter results highlighting an increase in uninsured volumes. It now expects a $1 billion to $1.2 billion pre-tax hit across the full year due to payer mix shifts among exchange patients.

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