We understand the dedication, time, and resources it takes to care for your community, and we recognize the challenges that arise when the rules keep changing.

Currently, hospitals are facing significant shifts in Medicaid and Medicare. New policies, like the One Big Beautiful Bill Act, are introducing stricter requirements, funding cuts, and more frequent eligibility checks. At the same time, proposals in Congress would reduce Disproportionate Share Hospital (DSH) payments, which many hospitals rely on to care for uninsured and underinsured patients.

On paper, these changes can look daunting. But we believe there’s another way to look at it as an opportunity to work smarter, together, and make sure patients get the coverage they deserve and hospitals get paid for the care they deliver.

What’s Changing and Why It Matters

Some of the proposed changes include:

  • New work and community engagement requirements for some Medicaid recipients.
  • More frequent eligibility reviews, sometimes as often as every six months.
  • Reduced federal funding for hospitals serving high numbers of uninsured patients.
  • Updated rules that limit eligibility for specific immigrant populations.

These shifts could leave more patients confused about their coverage or temporarily uninsured and put more financial pressure on hospitals.

But it doesn’t have to mean more uncompensated care or lost revenue. With the right tools and a proactive approach, hospitals can help patients understand their options, identify coverage that may be hidden or overlooked, and remain open to everyone who needs care.

How RCA Can Help

At RCA, we see ourselves as an extension of your team, here to help you navigate the changes and protect both your patients and your bottom line.

Here’s what we can do together:

  • Find hidden coverage early. We uncover Medicaid, Medicare, or commercial insurance patients might not even realize they have.
  • Help patients through new rules. We guide them through eligibility reviews or work requirements so they don’t lose coverage unnecessarily.
  • Recover revenue you’ve already earned. We help secure retroactive coverage and prevent premature write-offs.
  • Coordinate benefits correctly from the start. So you avoid denials, delays, and rework later.

We’ve seen firsthand how this proactive approach can change the story. With solutions like Real-Time Insurance Discovery, hospitals are finding coverage on more than one in four accounts previously marked as self-pay. That’s revenue recovered and patients cared for that might have been lost otherwise.

Moving Forward, Together

We know you’re here to care for everyone who walks through your doors. And we’re here to make sure you can keep doing that…even as policies and programs evolve.

By working together, we can help you stay ahead of these changes, reduce financial risk, and support patients through what can feel like a confusing and overwhelming time.

We’d love to discuss how RCA can help your hospital prepare, adapt, and thrive, because when we work together, everyone benefits.