Becker's Healthcare December 31, 2025
Laura Dyrda

As healthcare leaders nationwide grapple with rising uncompensated care and widening gaps in access, health systems are called to further invest in health equity. But that won’t be easy.

Uninsured rates have declined in recent years following the expansion of ACA subsidies. Still, coverage remains uneven across states, and pending federal policy changes to ACA subsidies could increase the number of uninsured and underinsured individuals next year. Hospitals are already reporting an uptick in bad debt and charity care, according to Kaufman Hall’s December 2025 “National Hospital Flash Report,” which shows a 10% increase over the last year and a 40% rise since 2022.

Despite these challenges, health systems remain committed to their roles in the community.

“Part of the...

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