The One Big Beautiful Bill Act (OBBBA) introduces major changes directly to Medicaid and the ACA Marketplace — but the impact will extend to other areas, such as employer-sponsored insurance, and ripple across the healthcare landscape. With $794 billion in Medicaid cuts and new eligibility and enrollment requirements, OBBBA forces health plans to face a future of reduced enrollment, higher risk pools, and increased administrative complexity. This briefing outlines the most consequential provisions of OBBBA and their implications for managed care organizations. You can also find out how OBBBA is impacting the entire healthcare industry here.