The One Big Beautiful Bill Act (OBBBA) introduces sweeping changes for health plans, particularly Medicaid MCOs and ACA marketplace plans. Funding cuts, tighter eligibility rules, and new compliance requirements will create financial pressure, operational strain, and membership churn.

This guide explains how payers can adapt, protect margins, and continue moving toward value-based care while managing growing complexity.

What you’ll learn:

• How OBBBA impacts Medicaid MCOs and ACA plans.
• Strategies to reduce churn and strengthen MLR compliance.
• Ways to manage provider reimbursement pressures and network stability.
• How to use AI and automation to cut costs and streamline operations.

Looking for how the OBBBA impacts providers?
Read our provider guide here.