At Resource Corporation of America (RCA), we’ve been standing alongside our hospital partners for over thirty years: long before Medicaid expansion, helping them navigate complex and shifting policies that affect access to care for the most vulnerable. We’ve seen the rules change before, and we’ve successfully guided hospitals and patients through those transitions. The recently passed One Big Beautiful Bill Act (OBBBA) is no different, but it underscores the importance of having the right partner by your side to minimize its impact and protect your patients and bottom line.

What’s Changing and Why It Matters

The One Big Beautiful Bill Act makes sweeping changes to both Medicaid and the Affordable Care Act (ACA), and these changes are projected to increase the uninsured rate by 16 million people by 2034, according to the Congressional Budget Office. This includes:

  • Fewer people will be insured through Medicaid as a result of new work and reporting requirements, more frequent eligibility checks, and reduced retroactive coverage.
  • Fewer people will be insured through ACA Marketplaces, due to shortened enrollment periods, stricter eligibility verification, and new costs for enrollees.
  • More uninsured if enhanced ACA premium tax credits expire at the end of 2025, leading to steep premium increases.

For hospitals, these changes mean higher uncompensated care, more uninsured patients at the point of service, and added complexity in helping patients maintain or secure coverage.

How RCA Can Help You Prepare

We understand these policy shifts can feel daunting. But we’ve been here before and we know how to help.

Our role is to step in as your partner, identifying and qualifying patients for every available program, including Medicaid, hospital-based charity care, and even hard-to-find coverage options. With the OBBBA introducing new barriers to coverage, like stricter verification, more frequent renewals, and reduced enrollment windows, hospitals will need to be more proactive than ever.

Here are a few ways RCA is already preparing to support you:

  1. Proactive Medicaid and Insurance Discovery

We help identify coverage that patients may not be aware of, even as eligibility rules become more complex. Our technology-driven approach enables us to quickly uncover hidden coverage, minimizing financial risk for your hospital.

  1. Assisting with New Reporting and Verification Requirements

The OBBBA will require patients to submit more documentation and re-certify more frequently, processes that can overwhelm patients and lead to coverage gaps. RCA will work directly with patients to navigate these hurdles, allowing you to focus on care.

  1. Out-of-State and Emergency Program Expertise

For patients who fall through the cracks, including those ineligible due to work requirements or income verification issues, RCA can help identify and enroll them in alternative programs.

  1. Mitigating the Impact of Expiring Tax Credits

As premium costs rise with the potential expiration of enhanced ACA tax credits, we’ll work to educate patients and guide them to the most affordable options, helping you preserve revenue and protect your community.

Looking Ahead

Policy changes, such as the One Big Beautiful Bill Act, remind us why partnerships between hospitals and experts like RCA are so critical. We can’t change the law, but we can change how we respond to it. Together, we can protect patients from unnecessary coverage loss, help hospitals avoid uncompensated care, and promote healthier communities.

If you’re ready to discuss how RCA can help your hospital prepare for these changes, we’d be happy to schedule a conversation. Let’s work together to ensure that no eligible patient is left uncovered, regardless of how complex the landscape becomes.

To learn more about how RCA can support your hospital during these transitions, contact us today. Together, we can turn uncertainty into opportunity for your patients and your bottom line.