Upcoming Changes to the Healthcare System: What Nonprofit Leaders Need to Know
This fall, the nation’s healthcare landscape will undergo significant changes, marking the most substantial shift since the Affordable Care Act (ACA) was introduced. Stemming from a combination of legislative and regulatory action, as well as inaction, these changes will impact healthcare costs, delivery, and enrollment requirements for families and companies throughout Florida.
Rising Healthcare Costs for Consumers
The pending expiration of Enhanced Premium Tax Credits & Subsidies reduces the government’s contribution to individual insurance premiums and may lead to a substantial increase in the consumer’s portion of their healthcare costs. Individuals are expected to face an average 75% increases in their out-of-pocket premiums. This creates challenges not just for employees of nonprofits, but some of their leaders must address the stress of their own costs as well.
Reduced Funding to Hospitals
Another concern is the reduction of payments for care to providers and hospitals that the government pays for other coverage. The ACA marketplace is a vital piece of the U.S. health insurance coverage framework, particularly in Florida, providing access to quality health care for millions of Floridians. When individuals lose health insurance coverage, they still turn to their local hospital when they need care, and the inability to pay can strain a hospital’s finances. This affects everyone, not only the uninsured, leading to overcrowded emergency departments, longer wait times and increased costs for care. The latter point acts as a “hidden tax” on all, as hospitals may seek to ‘shift’ those costs to employers by demanding higher rate increases from insurers during contract negotiations.
Implications for Nonprofit Executives
For nonprofit employees, insurance instability means more stress, more personal financial risk, and less reliable access to care. This in turn impacts nonprofits and their leaders, as it can directly affect workforce well-being, productivity, and turnover.
Key Takeaways
By understanding these changes, you can proactively adapt your strategies to ensure the well-being of your staff, organization, and community.
For more information on navigating the health insurance maze for your nonprofit or its employees, contact Ana.Castellanos@bcbsfl.com.
Link for Additional Education: https://www.floridablue.com/health-insurance-education
Every month, the Nonprofit Executive Alliance (NEA) hosts NEA 101, a welcoming and informative session designed to introduce nonprofit leaders to the depth and breadth of resources, programming, and community that the NEA provides.
Led by Rixys Alfonso, CEO of the NEA, and Sandra Vezsi Einhorn, Strategy Officer, NEA 101 is more than an orientation, it’s an open door to connection and collaboration. Together, Rixys and Sandra bring years of experience in nonprofit leadership, advocacy, and partnership development. Their combined perspectives offer participants both the big-picture vision of the NEA and the practical insights needed to thrive as part of this coalition.
NEA 101 gives nonprofit CEOs and Executive Directors a firsthand look at:
The mission and purpose of the NEA as Florida’s largest coalition of nonprofit leaders.
Membership benefits, including peer affinity groups, monthly CEO meetings, and advocacy opportunities.
Ways to maximize engagement with NEA programming and connect with peers across sectors.
The importance of collective leadership in strengthening the voice and impact of South Florida’s nonprofit community.
The nonprofit sector is a powerful driver of change, but no leader can go it alone. NEA 101 emphasizes the value of shared learning, mutual support, and collective advocacy. By attending, leaders not only gain knowledge about the Alliance but also begin to build relationships with peers who understand the challenges and opportunities unique to nonprofit leadership.
If you are a nonprofit CEO or Executive Director seeking to strengthen your leadership and connect with a community of peers who are shaping the future of South Florida, NEA 101 is for you.
Together, with Rixys and Sandra guiding the conversation, every session reinforces the NEA’s mission: to elevate, protect, and amplify the nonprofit sector as an essential partner in building stronger, more resilient communities.
Understanding Florida’s Appropriations Process
On Thursday, September 11th, we gathered for an insightful workshop, “Understanding Florida’s Appropriations Process,” presented in partnership with the Jewish Community Relations Council of Broward County, the Children's Services Council of Broward County, and the Nonprofit Executive Alliance (NEA).
Nonprofit leaders from across our community came together to learn how to navigate the state appropriations process and explore opportunities for state funding to support their missions.
A heartfelt thank-you to our expert panelists, State Representative Marie Woodson, Chair of the Broward County Legislative Delegation; Representative Hillary Cassel, our NEA Board Member Tiffani Dhooge, CEO of Children's Harbor, Inc.; our member Kirk Brown, CEO of Handy Inc; and Governmental Consultant Jodi Bock Davidson for helping to demystify the process and for their dedication to strengthening nonprofits across Broward and beyond.
Together, we’re building knowledge, capacity, and connections that fuel impact.
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