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M&A momentum continues with robust Q1 activity

Hospital and health system M&A activity continued with momentum in the first quarter of 2026, with 22 hospital and health system transactions announced—the highest first-quarter activity since 2020, according to the Kaufman Hall Mergers and Acquisitions Q1 Report.

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Gist Weekly: April 17, 2026

This week’s Gist Weekly covers key healthcare industry developments including hospital financial performance trends, emerging care delivery strategies, and notable policy and regulatory updates shaping providers, payers, and the broader healthcare landscape.

Brief

Justin Guerra

Justin Guerra is a Senior Vice President with Kaufman Hall and a member of the firm’s Treasury & Capital Markets Practice. He provides analytical, quantitative, and strategic support to nationwide not-for-profit hospitals and health systems, focusing on innovative treasury solutions.

expert

Alyssa Gottschalg

Alyssa Gottschalg is a Senior Vice President at Kaufman Hall and a member of the firm’s Treasury & Capital Markets practice. She provides analytical, quantitative, and strategic support, primarily for nationwide not-for-profit hospitals and health systems.

expert

Costs spike, coverage slips in ACA marketplace

Explore how rising ACA Marketplace premiums—driven by higher healthcare costs and expiring subsidies—are reducing affordability and leading to declining coverage rates nationwide.

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Gist Weekly: April 10, 2026

Budget request includes healthcare cuts, stricter vetting slows physician pipeline, insurers reduce prior auths

Brief

M&A quarterly activity report: Q1 2026

Explore Kaufman Hall’s Q1 2026 M&A report highlighting renewed hospital and health system deal activity, key trends, and how financial pressures, market uncertainty, and strategic partnerships are shaping healthcare consolidation.

Research Report