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October 4, 2026

Takeaways from the most recent news in the technology and policies shaping healthcare.

Payers

Walmart Names 17 Health Systems for 2026 Employee Care

Walmart will direct employees enrolled in its health plans to 17 health systems across the country in 2026 through its Centers of Excellence program, according to Becker's Hospital Review. The program covers treatment, travel, and lodging at no cost for most eligible conditions, including cancer, fertility issues, heart surgery, and hip and knee replacements.

The approach reflects a strategy large employers increasingly use to manage the cost and quality of expensive care. Rather than letting workers choose any in-network provider, Walmart concentrates volume at a curated set of systems it deems high-performing. The bet is that vetted providers deliver better outcomes, fewer complications, and fewer unnecessary procedures, which reduces total spending even after the retailer pays for travel.

For health systems, inclusion means a steady stream of steered patients and validation of clinical quality. For employees, it means access to top facilities without out-of-pocket cost, though it may require traveling far from home for treatment. Walmart is one of the largest private employers in the U.S., making its purchasing decisions influential across the market.

More in Payers

Payers

7 Health System Insurers to Exit Medicare Advantage in 2027

Seven health system-owned insurers are among 11 health plans exiting the individual Medicare Advantage market in 2027, with several others narrowing to special needs plans only.

Why it matters: The exits signal that even provider-owned plans are struggling with Medicare Advantage economics, forcing seniors to find new coverage.

Payers

CMS Projects Lower MA Premiums, Flat Enrollment for 2027

CMS projects lower average Medicare Advantage premiums and flat enrollment of 34 million for 2027, a figure that already trails current membership of 36.1 million.

Why it matters: Medicare Advantage now covers nearly half of all Medicare enrollees, so its premium and growth trajectory shapes revenue for insurers, providers, and the federal budget.

Payers

PBMs Become Rare Bipartisan Target in Washington and States

A bipartisan push in Congress and statehouses aims to rein in pharmacy benefit managers, including proposals to force CVS and rivals to split their PBM and pharmacy businesses.

Why it matters: PBMs sit at the center of US drug pricing, and forced divestiture would upend the business models of the largest healthcare conglomerates.