Presbyterian Healthcare Services is phasing out MA plans in 2027, eliminating 150 positions. Presbyterian Healthcare Services to discontinue most Medicare Advantage plans by 2027. Presbyterian Healthcare Services, a significant healthcare provider based in New Mexico, is set to discontinue most of its Medicare Advantage (MA) plans starting from the 2027 plan year, according to a spokesperson's confirmation to Fierce Healthcare. This decision comes amidst the health system's ongoing strategy to focus its resources on critical areas for New Mexicans. Continued coverage until 2026. Despite the upcoming changes, people currently enrolled in Presbyterian's MA plans will not experience any coverage disruptions in 2026. The health system will maintain its dual-needs MA plans, ensuring that essential services remain available to those who need them most. A spokesperson for Presbyterian emphasized that remaining in the MA market would limit the organization's capacity to invest in essential care services, workforce development, and access improvements within New Mexico. "For Presbyterian, continued existence in this market would limit our ability to invest in the care, workforce and access to serve New Mexicans where they need us most," the spokesperson said. Impact on jobs and commitment to care. As part of this strategic shift, Presbyterian will eliminate 150 positions within its health plan operations, affecting several administrative roles. However, the spokesperson reassured that these cuts would not impact clinical care. Notably, the health system is actively recruiting for approximately 870 open clinical positions, highlighting its commitment to maintaining high-quality care. If members have questions about the transition, they are encouraged to contact Presbyterian at 505-923-2000. "Presbyterian is focused on where we can make the biggest difference: providing high-quality care, expanding access and maintaining a strong, independent health care system for New Mexico," the spokesperson conveyed to Fierce Healthcare. Addressing financial challenges. Presbyterian has faced financial hurdles in recent months, leading to Fitch Ratings downgrading its credit outlook to negative in February. The rise in medical costs, a challenge faced by payers nationwide, significantly pressures the health system's financial stability. Nevertheless, Fitch recognizes the long-term operational stability that Presbyterian's health plans provide, despite the recent challenges. In addition to MA plans, Presbyterian offers a diverse range of health plans, including individual market plans, Medicaid, and employer-sponsored plans, reflecting its extensive reach and versatility in the healthcare sector. For more detailed information, please refer to the original article Here.

Presbyterian Healthcare Services to layoff 150 employees, company says. Posted: Jun 3, 2026 / 08:21 AM MDT Updated: Jun 3, 2026 / 08:21 AM MDT ALBUQUERQUE, N.M. (KRQE) - Albuquerque-based Presbyterian Healthcare Services, which owns and operates nine hospitals and multiple outpatient clinics in New Mexico, confirmed that it will be laying off 150 workers. Story continues below The company, a private not-for-profit health care system and health care provider, told KRQE News 13 that the layoffs will impact health plan and administrative roles. "Direct patient care roles will not be affected. Hiring and expanding clinical positions is our greatest need - we are actively trying to fill about 870 open clinical positions across our hospitals and clinics," Presbyterian Healthcare Services said in an email statement. The layoffs decision comes as the company has decided to no longer offer most of its Medicare Advantage plans in 2027. "For Presbyterian, continuing in this market would limit our ability to invest in the care, workforce and access to serve New Mexicans where they need us most," Presbyterian Healthcare Services said, adding that the decision will not impact members' coverage for the current plan year. Presbyterian said it will continue to offer its Medicare Advantage Dual Plus Special Needs Plan (D-SNP). "We know this news may be disruptive and we are committed to supporting our community throughout the transition. Community members can call (505) 923-2000 (TTY 711) for help," Presbyterian Healthcare Services wrote in its statement.

Presbyterian Healthcare Services will discontinue most of its Medicare Advantage plans from 2027 and eliminate 150 administrative positions, affecting 30,000 members. The Albuquerque-based health system will retain its Medicare Advantage Dual Plus Special Needs Plan, which serves 13,000 people receiving both Medicare and Medicaid benefits. The cuts will eliminate approximately $59 million in annual losses tied to Medicare Advantage. Affected staff from Presbyterian Health Plan, spanning sales, IT and operational roles, were informed on Tuesday with immediate effect. No clinical positions are impacted. The move follows financial difficulties for New Mexico's largest health system, which posted losses of $157 million in 2022 and $159 million in 2023, before returning to profitability with $84 million net income in 2024.