{"id":343527,"date":"2025-12-14T09:02:39","date_gmt":"2025-12-14T09:02:39","guid":{"rendered":"https:\/\/som2nypost.com\/uncategorized\/how-can-hospitals-adapt-to-evolving-medicaid-and-coverage-rules\/"},"modified":"2025-12-14T09:02:39","modified_gmt":"2025-12-14T09:02:39","slug":"how-can-hospitals-adapt-to-evolving-medicaid-and-coverage-rules","status":"publish","type":"post","link":"https:\/\/som2nypost.com\/?p=343527","title":{"rendered":"How can hospitals adapt to evolving Medicaid and coverage rules?"},"content":{"rendered":"<p> <br \/>\n<\/p>\n<div>\n<div class=\"wp-block-experian-blocks-at-a-glance\">\n<section class=\"\" data-analytics=\"columns\">\n<div class=\"mb-40 row wp-block-columns\">\n<div class=\"is-layout-flow wp-block-column col-12\">\n<div class=\"wp-block-experian-blocks-wrapper exp-solid-bg--blue-100 rounded aag-container p-30 col-12\">\n<div class=\"wp-block-experian-blocks-wrapper row\">\n<p><h2 class=\"h6 text-uppercase\">At A Glance<\/h2>\n<p>Hospitals that treat Medicaid patients should update their eligibility and billing systems now to prepare for the One Big Beautiful Bill Act (OBBBA), which will bring major changes to Medicaid.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<figure class=\"\" data-analytics=\"image\"><img decoding=\"async\" src=\"https:\/\/www.experian.com\/blogs\/healthcare\/wp-content\/uploads\/2025\/11\/Blog_HowCanHospitalsAdapt_20251120.jpg\" alt=\"Doctor and revenue cycle leader looking at paperwork.\" class=\"img-fluid\"\/><\/figure>\n<p><strong><em>Key takeaways:<\/em><\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>New Medicaid reforms under OBBBA are expected to bring increased financial risk for hospitals, and <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/infographic-one-big-beautiful-bill-act-obbba-readiness\/\" target=\"_blank\" rel=\"noreferrer noopener\">over half of providers<\/a><\/strong> say they face moderate to high risk to Revenue Cycle Management (RCM) performance.<\/li>\n<li>Around <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/infographic-one-big-beautiful-bill-act-obbba-readiness\/\" target=\"_blank\" rel=\"noreferrer noopener\">40% of healthcare organizations<\/a><\/strong> anticipate a need for major updates across revenue cycle systems \u2013 particularly in areas of eligibility, billing and compliance processes.<\/li>\n<li>Compared to other types of providers, <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/infographic-one-big-beautiful-bill-act-obbba-readiness\/\" target=\"_blank\" rel=\"noreferrer noopener\">hospitals<\/a><\/strong> have a better understanding of OBBBA\u2019s impact on Medicaid, are better prepared and may only need to make minor process adjustments.<\/li>\n<\/ul>\n<p>The <strong><a href=\"https:\/\/www.congress.gov\/bill\/119th-congress\/house-bill\/1\" target=\"_blank\" rel=\"noreferrer noopener\">budget reconciliation bill<\/a><\/strong>, known as H.R. 1 of the One Big Beautiful Bill Act, was signed into law on July 4, <strong><a href=\"https:\/\/www.ama-assn.org\/health-care-advocacy\/federal-advocacy\/changes-medicaid-aca-and-other-key-provisions-one-big\" target=\"_blank\" rel=\"noreferrer noopener\">bringing major shifts<\/a><\/strong> to Medicaid, Medicare and Affordable Care Act (ACA) marketplace plans.<\/p>\n<p>For hospitals that treat Medicaid patients, OBBBA reforms are reshaping eligibility criteria, reimbursements and demand for charity care \u2013 and could bring significant financial risk. To keep revenue cycles on track, hospitals must brace for the impact of higher uncompensated care costs, rapidly evolving compliance needs, and a growing administrative burden.<\/p>\n<p>Here\u2019s what hospitals need to know about OBBBA\u2019s changes to Medicaid and strategies to improve resilience.<\/p>\n<h2 class=\"h2\">What do hospitals need to know about Medicaid changes?<\/h2>\n<p>For hospitals, <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/what-the-2025-budget-bill-means-for-hospital-revenue-and-readiness-2\/\" target=\"_blank\" rel=\"noreferrer noopener\">Medicaid changes<\/a><\/strong> will affect enrollment, eligibility, cost-sharing and funding. These <strong><a href=\"https:\/\/medicareadvocacy.org\/impact-of-the-big-bill-on-medicare\/\" target=\"_blank\" rel=\"noreferrer noopener\">One Beautiful Bill Act Medicaid changes<\/a><\/strong> reflect a broader push by lawmakers to improve fiscal sustainability, curb federal spending and return control to states.<\/p>\n<p>What hospitals need to know about the <strong><a href=\"https:\/\/www.healthmanagement.com\/blog\/h-r-1-signed-into-law-what-it-means-for-medicaid-and-public-coverage\/\" target=\"_blank\" rel=\"noreferrer noopener\">upcoming changes for Medicaid<\/a><\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>More frequent eligibility checks:<\/strong> Beginning in 2027, states will be required to run automated eligibility checks every six months for adults covered under ACA Medicaid expansion. Quarterly cross-checking against federal databases to remove ineligible or deceased enrollees will also become mandatory.<\/li>\n<li><strong>Pause on Biden-era federal rules: <\/strong>Under the OBBBA, a moratorium goes into effect on implementing previous federal rules tied to streamlining enrollment in Medicaid and the Children\u2019s Health Insurance Program (CHIP).<\/li>\n<li><strong>Community engagement requirement: <\/strong>Starting in 2027, some Medicaid enrollees, including adults ages 19 to 64 who don\u2019t have disabilities or dependents, will need to show proof that they work, volunteer or are in schooling at least 80 hours a month, unless exempted.<\/li>\n<li><strong>Immigration eligibility restrictions: <\/strong>Some lawfully present immigrants will lose their Medicaid eligibility. Additionally, Medicaid payments for emergency health services in expansion states will be banned for most migrants.<\/li>\n<li><strong>Cost-sharing requirements: <\/strong>Beginning in 2028, Medicaid enrollees with incomes above the federal poverty level will be subject to cost-sharing mandates\u2014up to $35 per service\u2014to ensure beneficiaries have a financial stake in their care.<\/li>\n<li><strong>Funding limits and financial penalties: <\/strong>States will face new limits on how provider taxes and supplemental payments can be used to boost federal matching funds. States must phase down existing taxes from 6% to 3.5% over several years, and <strong><a href=\"https:\/\/www.cms.gov\/files\/document\/medicare-overpayments.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">penalties<\/a><\/strong> will be issued for failure to recover overpayments.<\/li>\n<\/ul>\n<h2 class=\"h2\">How will rising uninsured volumes create more financial risk for hospitals?<\/h2>\n<p>Rising uninsured volumes likely mean new financial risks for hospitals. However, <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/infographic-one-big-beautiful-bill-act-obbba-readiness\/\" target=\"_blank\" rel=\"noreferrer noopener\">31% of hospitals<\/a><\/strong> say the financial risks of Medicaid changes are low and feel they can adapt with minimal revenue impact, while <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/infographic-one-big-beautiful-bill-act-obbba-readiness\/\" target=\"_blank\" rel=\"noreferrer noopener\">44% say<\/a><\/strong> they face moderate financial risk.<\/p>\n<p>Here\u2019s what hospitals can expect:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Reimbursements are likely to decrease.<\/strong> Cost-sharing and funding provisions may constrain reimbursement for Medicaid services \u2014 especially for hospitals in non-expansion states.<\/li>\n<li><strong>Patients may require more charity care and greater financial assistance to cover costs. <a href=\"https:\/\/www.pymnts.com\/healthcare-financing\/2022\/inaccurate-cost-estimates-could-push-60-of-patients-to-switch-providers\/\" target=\"_blank\" rel=\"noreferrer noopener\">One in five patients<\/a><\/strong> currently reports experiencing distress over healthcare costs they can\u2019t afford. As more Americans find themselves without Medicaid coverage, self-pay volumes are likely to rise, along with emergency uninsured visits.<\/li>\n<li><strong>Hospitals may be left with bad debt. <\/strong>The latest Congressional Budget Office (CBO) data estimates providers will have to shoulder <strong><a href=\"https:\/\/www.americanprogress.org\/article\/new-cbo-estimates-confirm-massive-rise-in-uncompensated-care-costs-under-one-big-beautiful-bill-act\/\" target=\"_blank\" rel=\"noreferrer noopener\">$36 billion<\/a><\/strong> in uncompensated care by 2034, with safety-net and rural organizations shouldering the biggest impact.<\/li>\n<li><strong>Operating margins may be impacted. <\/strong>Data also suggests key policy milestones will impact health system operating margins \u2014 with the effects compounding over the next several years. By 2028, margins may go down <strong><a href=\"https:\/\/www.advisory.com\/topics\/policy-and-payment\/financially-resilient\" target=\"_blank\" rel=\"noreferrer noopener\">as much as 17%<\/a><\/strong> for systems with a median $1B to $2B net operating revenue system.<\/li>\n<\/ul>\n<h2 class=\"h2\">How can hospitals upgrade revenue cycle systems and processes for OBBBA?<\/h2>\n<p>Hospitals must prepare for <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/what-the-2025-budget-bill-means-for-hospital-revenue-and-readiness-2\/\" target=\"_blank\" rel=\"noreferrer noopener\">upcoming Medicaid reforms<\/a><\/strong> by upgrading key RCM systems and processes. For many revenue cycle leaders, eligibility and billing processes are top of mind, along with meeting new compliance and regulatory requirements.<\/p>\n<p>The following strategies can help hospitals maximize system and process upgrades for OBBBA:<\/p>\n<h2 class=\"h3\">1. Leverage collections optimization solutions<\/h2>\n<p>With self-pay patient volumes growing, overhauling billing system configurations is a <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/infographic-one-big-beautiful-bill-act-obbba-readiness\/\" target=\"_blank\" rel=\"noreferrer noopener\">top priority for 42% of hospitals<\/a><\/strong>. Billing systems must be able to keep up with new Medicaid billing requirements while also helping hospitals improve patient collection rates.<\/p>\n<p><strong>Upgrades for hospitals to consider:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/collections-optimization-what-healthcare-organizations-can-do\/\" target=\"_blank\" rel=\"noreferrer noopener\">Collections optimization technology<\/a><\/strong> streamlines the collections process and helps hospitals leave less revenue on the table.<\/li>\n<li>With tools like Experian Health\u2019s <strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/accelerate-patient-collections\/patient-collections-process-optimization-manager\" target=\"_blank\" rel=\"noreferrer noopener\">Collections Optimization Manager<\/a><\/strong>, billing teams quickly understand a patient\u2019s ability and willingness to pay.<\/li>\n<li>It also identifies charity eligibility and can implement effective and compassionate outreach \u2014 creating a smoother patient financial journey.<\/li>\n<\/ul>\n<h2 class=\"h3\">2. Reduce coverage gaps with real-time eligibility and discovery<\/h2>\n<p>Hospitals can better reduce the risk of coverage gaps by proactively strengthening front-end eligibility and financial clearance processes. For <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/infographic-one-big-beautiful-bill-act-obbba-readiness\/\" target=\"_blank\" rel=\"noreferrer noopener\">43% of hospitals<\/a><\/strong>, upgrading systems to handle more frequent eligibility checks and verify compliance with new Medicaid work requirements\u202fis a must.<\/p>\n<p><strong>Upgrades for hospitals to consider:<\/strong><\/p>\n<p>Health insurance lookup tools, such as Experian Health\u2019s <strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/patient-access-registration\/insurance-eligibility-verification\" target=\"_blank\" rel=\"noreferrer noopener\">Eligibility Verification<\/a><\/strong> and <strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/patient-access-registration\/check-patient-health-insurance-lookup\" target=\"_blank\" rel=\"noreferrer noopener\">Coverage Discovery<\/a>,<\/strong> help providers easily verify coverage prior to service. Coverage Discovery uses proprietary data and advanced machine learning to identify unknown or forgotten insurance coverage across the entire revenue cycle \u2013 before, during, and after care.<\/p>\n<section class=\" par-comp-mb\" data-analytics=\"pullquote\">\n<figure class=\"d-flex flex-column flex-lg-row flex-md-row wp-block-pullquote col-12 rounded background-color--none has-text-align-left\">\n<blockquote>\n<p class=\"text-body h3 mb-20 text-break\"><strong>Coverage Discovery<\/strong> identified over <strong>$60 billion in insurance coverage<\/strong> across 45+ million unique patient cases in 2024 alone, turning missed opportunities into paid claims.<\/p>\n<\/blockquote>\n<\/figure>\n<\/section>\n<p>Accurate patient information at intake is essential to <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/the-denial-spiral-breaking-the-cycle-with-predictive-intelligence\/\" target=\"_blank\" rel=\"noreferrer noopener\">reducing claim denials<\/a><\/strong>. Together, Experian Health\u2019s <strong><a href=\"https:\/\/www.experian.com\/lp\/healthcare\/patient-access-curator\" target=\"_blank\" rel=\"noreferrer noopener\">Patient Access Curator\u2122 (PAC)<\/a> <\/strong>and <strong><a href=\"https:\/\/www.experian.com\/lp\/healthcare\/ai-advantage\" target=\"_blank\" rel=\"noreferrer noopener\">AI Advantage\u2122<\/a> <\/strong>solutions help ensure accurate patient information and cleaner claim submissions. <strong><a href=\"https:\/\/www.experian.com\/lp\/healthcare\/patient-access-curator\" target=\"_blank\" rel=\"noreferrer noopener\">PAC<\/a><\/strong> uses artificial intelligence to automatically check and verify patient demographic information in real-time. <strong><a href=\"https:\/\/www.experian.com\/lp\/healthcare\/ai-advantage\" target=\"_blank\" rel=\"noreferrer noopener\">AI Advantage<\/a><\/strong> works downstream to predict claim outcomes mid-cycle and push urgent tasks to the front of the queue.<\/p>\n<h2 class=\"h3\">3. Support patient payment readiness with estimates and transparency<\/h2>\n<p>By 2034, the Congressional Budget Office (CBO) estimates <strong><a href=\"https:\/\/d1dth6e84htgma.cloudfront.net\/E_and_C_Markup_Subtitle_D_Part_I_5_12_25_4628d60c2a.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">10 million people<\/a><\/strong> will lose Medicaid or CHIP \u2013 likely shifting more patients to self-pay. <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/price-transparency\/\" target=\"_blank\" rel=\"noreferrer noopener\">Price transparency regulations<\/a><\/strong> are also getting tighter, making compliance with <strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/patient-access-registration\/healthcare-price-transparency\" target=\"_blank\" rel=\"noreferrer noopener\">new transparency laws<\/a><\/strong> a priority.<\/p>\n<p><strong>Upgrades for hospitals to consider:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/www.experian.com\/healthcare\/resources-insights\/thought-leadership\/white-papers-insights\/state-of-patient-access-survey-2\" target=\"_blank\" rel=\"noreferrer noopener\">81% of patients<\/a><\/strong> report that accurate estimates help them better prepare to pay their medical bills. Solutions like Experian Health\u2019s <strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/payment-tools\/patient-billing-and-pay\" target=\"_blank\" rel=\"noreferrer noopener\">Patient Estimates<\/a><\/strong> generate real-time estimates using up-to-date payer contracts, fee schedules and historical claim data.<\/li>\n<li>Patient Estimates also ensures hospitals are ready using four built-in reports that align estimates with actuals, track collections and prove compliance.<\/li>\n<li>Self-service payment portals, like <strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/payment-tools\/patient-online-portal-and-self-service\" target=\"_blank\" rel=\"noreferrer noopener\">PatientSimple\u00ae from Experian Health<\/a><\/strong>, allow patients to conveniently access personalized estimates.<\/li>\n<li>Complementary tools, like <strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/payment-tools\/patient-financial-advisor\" target=\"_blank\" rel=\"noreferrer noopener\">Patient Financial Advisor<\/a><\/strong>, text estimates to patients or download PDFs in-office.<\/li>\n<\/ul>\n<section class=\"par-comp-mb\" data-analytics=\"media-text\">\n<div class=\"wp-block-media-text par-comp-mb row align-items-center rounded exp-solid-bg--gray py-15\">\n<figure class=\"wp-block-media-text__media col-lg-6 col-12\"><a href=\"https:\/\/www.experian.com\/healthcare\/resources-insights\/thought-leadership\/webinars-podcasts\/cms-price-transparency\" target=\"_blank\" rel=\"noreferrer noopener\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1200\" height=\"627\" src=\"https:\/\/www.experian.com\/blogs\/healthcare\/wp-content\/uploads\/2025\/11\/healthcare-price-transparency-rules-webinar.png\" alt=\"CMS Hospital Price Transparency webinar preview image.\" class=\"wp-image-25136 size-full\"\/><\/a><\/figure>\n<div class=\"wp-block-media-text__content pt-15 col-lg-6 col-12\">\n<p>The CMS Hospital Price Transparency Rule is evolving\u2014and so are the expectations. Find out what\u2019s changing, what\u2019s at stake, and how to prepare your organization for audit-readiness and long-term success.<\/p>\n<\/div>\n<\/div>\n<\/section>\n<h2 class=\"h3\">4. Automate charity care to offset uncompensated care<\/h2>\n<p>As patients lose Medicaid coverage, hospitals could see increased patient need for <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/automate-patient-financial-assistance-screening-to-reduce-bad-debt\/\" target=\"_blank\" rel=\"noreferrer noopener\">financial assistance<\/a><\/strong>, like <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/clarifying-charity-care-how-hospitals-can-better-communicate-financial-assistance-to-patients\/\" target=\"_blank\" rel=\"noreferrer noopener\">charity care programs<\/a><\/strong>.<\/p>\n<p>A third (33%) of providers feel Medicaid financial assistance or charity screening processes are ripe for upgrades. Additionally, 30% of hospitals say call center training and scripting for Medicaid patient financial communications needs improvement.<sup>1<\/sup><\/p>\n<p><strong>Upgrades for hospitals to consider:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Automating financial assistance screening with tools like <strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/payment-tools\/patient-collections-and-financial-clearance\" target=\"_blank\" rel=\"noreferrer noopener\">Patient Financial Clearance<\/a><\/strong> can foster compassionate financial conversations and ensure more patients are connected to support at scale.<\/li>\n<li><strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/payment-tools\/patient-collections-and-financial-clearance\" target=\"_blank\" rel=\"noreferrer noopener\">Patient Financial Clearance<\/a><\/strong> uses real-time data to identify patients who may qualify for charity care \u2013 recommending suitable payment plan options while reducing administrative burden.<\/li>\n<\/ul>\n<h2 class=\"h2\">The bottom line: Hospitals must future-ready operations for an uncertain payer mix<\/h2>\n<p>Under the <strong><a href=\"https:\/\/www.experian.com\/blogs\/healthcare\/what-the-2025-budget-bill-means-for-hospital-revenue-and-readiness-2\/\" target=\"_blank\" rel=\"noreferrer noopener\">One Big Beautiful Bill Act<\/a><\/strong>, Medicaid policies are evolving rapidly \u2013 with many unknowns ahead. As hospitals work hard to bolster key revenue cycle management processes and systems in order to minimize financial risks, a flexible, technology-first approach may prove to be crucial.<\/p>\n<p>Scalable, <strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/patient-access-registration\/insurance-eligibility-verification\" target=\"_blank\" rel=\"noreferrer noopener\">automated solutions<\/a><\/strong> help organizations get eligibility right, minimize the risk of uncompensated care and enable patients to better understand their financial obligations. With the right tools in place, hospitals can better weather any new challenges OBBBA brings.<\/p>\n<p><em>Find out how Experian Health is helping hospitals prepare for Medicaid reforms by <strong><a href=\"https:\/\/www.experian.com\/healthcare\/products\/patient-access-registration\/insurance-eligibility-verification\" target=\"_blank\" rel=\"noreferrer noopener\">modernizing eligibility checks<\/a><\/strong> and reducing exposure to revenue loss.<\/em><\/p>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<p><strong>Sources:<\/strong><\/p>\n<p>1. Experian Health \u2013 OBBBA 2025 Research.\u202fQuantitative\u202fsurvey\u202fof 200 healthcare\u202fprofessionals responsible for financial, billing and RCM decisions. This survey was conducted in October 2025.<\/p>\n<\/p><\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>At A Glance Hospitals that treat Medicaid patients should update their eligibility and billing systems now to prepare for the One Big Beautiful Bill Act (OBBBA), which will bring major changes to Medicaid. Key takeaways: New Medicaid reforms under OBBBA are expected to bring increased financial risk for hospitals, and over half of providers say [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":343528,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[133512,166732,166733,108448,99151,166734,149512,2,166735,99154,99155,166736,166737,166738,166739,99150,128099,166740,99156,128101,166741,149517,166742,99158],"tags":[35148,14902,166743,166744,29171,13841,99159,21928,149523,22556,32786,166745,13301,11652,94570,166746,166747,166748,149527,128104,166749,99161,128106,166750,149529,11149,166751,99163],"dealstore":[],"offerexpiration":[],"class_list":["post-343527","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aca","category-ai-advantage","category-charity-care","category-cms","category-coverage-discovery","category-eligibility","category-eligibility-verification","category-featured","category-hr-1","category-medicaid","category-medicare","category-obbba","category-obbba-mini-survey","category-obbba-survey","category-one-beautiful-bill-act","category-patient-access","category-patient-access-curator","category-patient-financial-advisor","category-patient-financial-clearance","category-patientsimple","category-price-transparency","category-revenue-cycle-management","category-uc-health","category-uchealth","tag-aca","tag-adapt","tag-ai-advantage","tag-charity-care","tag-cms","tag-coverage","tag-coverage-discovery","tag-eligibility","tag-eligibility-verification","tag-evolving","tag-hospitals","tag-hr-1","tag-medicaid","tag-medicare","tag-obbba","tag-obbba-mini-survey","tag-obbba-survey","tag-one-beautiful-bill-act","tag-patient-access","tag-patient-access-curator","tag-patient-financial-advisor","tag-patient-financial-clearance","tag-patientsimple","tag-price-transparency","tag-revenue-cycle-management","tag-rules","tag-uc-health","tag-uchealth"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How can hospitals adapt to evolving Medicaid and coverage rules? - Som2ny Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/som2nypost.com\/?p=343527\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How can hospitals adapt to evolving Medicaid and coverage rules? - Som2ny Network\" \/>\n<meta property=\"og:description\" content=\"At A Glance Hospitals that treat Medicaid patients should update their eligibility and billing systems now to prepare for the One Big Beautiful Bill Act (OBBBA), which will bring major changes to Medicaid. 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