The healthcare utilization scare is a payer problem, not a provider problem, which leaves HCA Healthcare in a strong position. A day after the market sold off insurers on utilization fears, HCA, the country's biggest hospital chain, said at a Wells Fargo conference that demand is growing and 99% of its book is performing as expected. Exchange admissions fell 15%, but that reflects the subsidy cliff rather than weaker demand for care. x.comÂ