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Baylor Scott & White Health Plan to exit Texas Medicaid managed care in 2026, end individual marketplace plans
Kwtx.com and 1 more
- BSW Health Plan will exit the Texas Medicaid Managed Care Program and stop offering all Individual Marketplace plans in 2026, signaling a broad strategic shift away from Medicaid and ACA marketplace coverage.
- The exit is targeted for August 31, 2026, with marketplace plan discontinuation following by December 31, 2026, according to the plan’s timeline.
- BSWHP serves a modest share of Texans, currently covering about 3.5% of Medicaid enrollees and 2.6% of marketplace customers, signaling a notable but not dominant footprint.
- If regulators approve the change, affected members will be contacted with additional information and support to navigate the transition.
- Hospitals and clinics affiliated with BSW will continue to accept Medicaid and marketplace insurance plans despite the exit.
- Looking ahead, the plan will focus on employer groups and Medicare Advantage, aiming for an integrated experience for those segments.
- Some Medicaid and marketplace roles will be affected; the organization pledges career resources, including guidance, open-role access, and funded reskilling for high-demand positions.
- BSWHP has been expanding its footprint, adding nearly 500 jobs in Temple and Central Texas, while planning to recruit more than 3,000 positions across its network.
- The announcements stem from a formal statement by Baylor Scott & White Health Plan, underscoring this as an official, plan-led transition.
- Independent coverage from KERA corroborates the plan’s timeline and details, including the August exit from Medicaid MCOs and later marketplace plan cessation.
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