Barbara highlighted ongoing concerns with CMS' final hospice and home health rules, noting a modest 2.6% rate increase for hospice but significant dissatisfaction with the lack of full cost recovery.
The proposed 2026 home health rule includes continued cuts, with cumulative reductions exceeding 20% since PDGM implementation, despite rising care costs and demand for home-based services.
Management emphasized that these reimbursement cuts threaten access to care, especially in rural and underserved areas, and could force closures or consolidations of branches.
Enhabit is actively engaging with trade associations and policymakers to oppose these cuts, arguing that the industry provides cost-effective care that reduces overall healthcare expenditures.
Impact of the Big Beautiful Bill on Pediatric and Neonatal Care in Non-Expansion States
Management expressed cautious optimism about the legislation's phased implementation, noting that 60% of their volume resides in non-expansion states.
They believe the bill's initial wording suggests minimal impact on their core patient populations—pregnant women and children—since it primarily targets other demographics.
Management highlighted the importance of legislative details yet to be announced, but they are actively engaging with policymakers to advocate for their interests.
The company’s confidence is based on the bill's focus on different population segments and their strategic positioning in non-expansion states, which may shield them from significant cuts.
Recognition of Top-Ranked Rehabilitation Hospitals and Strategic Development Achievements
Eight hospitals recognized among the nation's best by U.S. News & World Report, with Kessler Institute for Rehabilitation ranked #4 for 33rd consecutive year.
Opened new facilities including a 12-bed hospital with UPMC in Pennsylvania, a neuro transitional care unit in Missouri, and expansions in Florida.
Plans to open multiple new hospitals in 2026 and 2027, including partnerships with Banner Health and Cox Health Systems, with a focus on high-demand markets.
Adjusted G&A ratio was 6.1%, reflecting lower incentive compensation and productivity enhancements.
Balance sheet remains strong with $100 million parent company cash, $260 million subsidiary dividends harvested, and debt reduced by $200 million to 1.9x trailing EBITDA.
Marketplace segment MCR was 85.4%, higher than expected, including impacts from ConnectiCare acquisition and member reconciliations.
Medicaid segment MCR was 91.3%, above the long-term target range, with pressures from behavioral health, pharmacy, inpatient and outpatient care.
Medicare segment MCR was 90%, above target, driven by higher utilization in acute populations, especially long-term services and supports and high-cost drugs.
Molina Healthcare reported adjusted earnings per share of $5.48 on $10.9 billion of premium revenue for Q2 2025.
The consolidated Medical Cost Ratio (MCR) was 90.4%, reflecting a challenging medical cost trend environment.
Year-to-date consolidated MCR is 89.8% with an adjusted pretax margin of 3.6%.
Revised Financial Outlook and Impact of Portfolio Actions
The company now expects a $6.5 billion increase in 2025 medical costs versus initial estimates, with specific impacts in Medicare ($3.6 billion), commercial ($2.3 billion), and Medicaid.
Approximately $1 billion of previously planned portfolio actions are no longer being pursued, affecting the outlook.
Recognition of $850 million in unfavorable prior period items and one-time settlements, indicating a more challenging financial environment than initially projected.
Dafinchi
