The Centers for Medicare & Medicaid Services (CMS) has announced two major updates that will directly impact hospitals, patients, and the revenue cycle in the coming years: Open Enrollment Period (OEP) Adjustments Expanded Access to Catastrophic Coverage Both changes are designed to respond to rising premiums and shifting coverage dynamics in the individual market. Open [...]
Patients naturally assume that everyone they encounter within a healthcare facility is a hospital employee. Onsite vendors are often seen as an extension of the hospital itself and should embody the organization’s values from the very first interaction. That’s why it’s essential to partner with vendors who fully integrate into your facility’s culture. Beyond verifying [...]
If you rely on Medicaid Disproportionate Share Hospital (DSH) funding, the next 12 months will matter. The American Hospital Association’s latest fact sheet flags significant reductions to Medicaid DSH starting Oct. 1, 2025 (FY 2026), with additional cuts slated for FY 2027–2028. Pair those reductions with persistent Medicaid underpayment and new limits on certain supplemental [...]
At Resource Corporation of America (RCA), we know that policy changes aren’t just abstract rules on a page — they affect real people, hospitals, and communities. This week, a federal judge pressed “pause” on several ACA Marketplace provisions that were supposed to begin on August 25, 2025. For hospitals and patients, this pause brings a [...]