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What We’re Reading – October 2025

October 27, 2025

Here’s a sampling of the recent articles R1 revenue cycle experts are reading:

Healthcare Finance
CMS recalls employees for open enrollment during shutdown

The Centers for Medicare and Medicaid Services has confirmed that it is temporarily calling back all furloughed employees during open enrollment. Medicare open enrollment began on Oct. 15 and ends on Dec. 7. The open enrollment period for plans on the Affordable Care Act marketplace on HealthCare.gov starts Nov. 1 and ends on Jan. 15, 2026.

KFF
ACA Marketplace Premium Payments Would More than Double on Average Next Year if Enhanced Premium Tax Credits Expire

Affordable Care Act (ACA) enhanced premium tax credits are set to expire at the end of this year. Enhanced premium tax credits were introduced in 2021 and later extended through the end of 2025 by the Inflation Reduction Act. The enhanced tax credits both increased the amount of financial assistance already eligible ACA Marketplace enrollees received as well as made middle-income enrollees with income above 400% of federal poverty guidelines newly eligible for premium tax credits.

Tech Target
Medicaid disenrollments to reduce hospital revenue by $25B

Hospitals are slated to lose up to $25 billion in a single year as Medicaid disenrollments materialize under the administration’s new budget. The latest estimates from the Congressional Budget Office (CBO) show 10 million additional people losing health insurance coverage by 2034 under the law.

Healthcare Finance
AI and technology triggering a $1 billion shift in healthcare

Artificial Intelligence and consumer-centric healthcare services are leading to a change in healthcare. Analysts are expecting $1 trillion of annual healthcare spending to shift away from fragmented, infrastructure-heavy models and toward empowered “super consumers” and a digital-first system of care, according to new PwC analysis.

 

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