HHS has been responsible for setting these poverty guidelines since 1982. Every year HHS updates these poverty guidelines, adjusted for inflation based on the Census Bureau’s current official poverty thresholds.

The 2024 guidelines are live and available online as of 1/11/24.

Below is a table of the new 100% Federal Poverty Guidelines for the 48 Contiguous States and the District of Columbia.

2024(1) Poverty Guidelines for the 48 Contiguous States and the District of Columbia

For families/households with more than 8 persons, add $5,380 for each additional person.

Comparatively, to last year there is about a 4% increase. In the prior years, the increase was 6 to 7%.

Updating FPL information in payer and provider systems is crucial to determining a patient's eligibility accurately every year.

EligibilityOne specializes in Medicaid eligibility and enrollment. Our on-site specialists work with your uninsured or underinsured patients in person to educate them and enroll them in Medicaid and other third-party payer programs that assist with their medical bills.

About EligibilityOne

EligibilityOne is a service solution specializing in third-party eligibility, designed to manage your self-pay population and reduce uncompensated care. We utilize real-time coverage discovery and verification, our comprehensive screening tool (AdvocatorAI), and expanded onsite coverage hours. We also offer complex claims support, disability specialists, credentialing solutions, and out-of-state Medicaid services through our experienced offsite business offices. Our complementary goals of promoting patient advocacy and improving your revenue cycle go hand-in-hand as we strive to create a healthier financial environment for your entire community.

Impacting Communities, One Patient at a Time.

www.eligibilityone.com

(n.d.). Federal Poverty Level (FPL) Definition. Investopedia. https://www.investopedia.com/terms/f/fpl.asp

(n.d.). FPL Now Vs Then How Has FPL Evolved Since the Early Years. All About FPL. https://allaboutfpl.com/2021/08/fpl-now-vs-then-how-has-fpl-evolved-since-the-early-years/

Is Your Facility Fully Optimizing HPE in Your State?

Immediate Access to Healthcare Services: One of the primary benefits of HPE is that it allows eligible individuals to receive immediate access to necessary healthcare services. Hospitals can provide essential care to patients in their communities who might not otherwise have coverage during the traditional Medicaid application processing period.

Financial Impact on Hospitals: By providing presumptive eligibility, hospitals can receive reimbursement for services rendered to individuals who are later determined to be eligible for Medicaid. This helps reduce the burden of uncompensated care that hospitals might otherwise face when treating uninsured patients.

Streamlined Medicaid Enrollment Process: HPE simplifies and expedites the Medicaid enrollment process. Hospitals can quickly assess and determine eligibility based on basic information provided by the individual. This streamlined process allows for faster reimbursement for services, benefiting both hospitals and patients.

Improved Continuity of Care: HPE ensures that eligible individuals can access necessary healthcare services without delays. This can contribute to improved continuity of care, as individuals can receive ongoing medical attention without interruptions while awaiting the final determination of their Medicaid eligibility.

Hospital Presumptive Eligibility (HPE) Hurdles

Administrative Challenges: While HPE provides benefits, it also has administrative challenges for hospitals. They need to implement processes and systems to determine presumptive eligibility accurately, document the information, and communicate effectively with Medicaid agencies to ensure proper reimbursement.

Varied State Implementation: HPE programs can vary by state. Each state has the flexibility to design its HPE program within federal guidelines. Therefore, hospitals may need to adapt to different eligibility criteria and program requirements depending on the state in which they operate. A study done in June 2023 showed substantial variability in HPE generosity amongst the 50 states. In 7 states, visibility of the program information was so limited patients faced challenges learning about HPE from official government websites. Understanding your state policies and being an advocate for your patient is key to a successful HPE program in your

facility.

Hospital Presumptive Eligibility can positively impact hospitals by providing a means for quicker access to healthcare services for eligible patients, reducing uncompensated care, and improving the overall efficiency of the Medicaid enrollment process. However, a complete understanding of your state’s policy, along with effective implementation and coordination are essential to realizing these benefits.

EligibilityOne Streamlines HPE Processes with On-Site Eligibility Advocates & Technology

EligibilityOne specializes in eligibility and enrollment for uninsured patients. Our screening technology was designed to identify existing coverage or alternate funding sources for patients’ including Medicaid. The assessment is generated based on the answers the patient gives, utilizing business rules and automated workflows. The tool includes integrated calculators for defining household income and supports patient advocacy through prompted financial counseling discussions. We also provide full transparency with our online, real-time reporting tool.

Let our team evaluate the opportunities an HPE program has in your state, contact us at info@eaimpact.com.

About EligibilityOne

EligibilityOne is a service solution specializing in third-party eligibility, designed to manage your self-pay population and reduce uncompensated care. We utilize real-time coverage discovery and verification, our comprehensive screening tool (AdvocatorAI), and expanded onsite coverage hours. We also offer complex claims support, disability specialists, credentialing solutions, and out-of-state Medicaid services through our experienced offsite business offices. Our complementary goals of promoting patient advocacy and improving your revenue cycle go hand-in-hand as we strive to create a healthier financial environment for your entire community.

Impacting Communities, One Patient at a Time.®

www.eligibilityone.com.

State-Level Variability in Hospital Presumptive Eligibility Programs. (2023, November). National Library of Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685880/#:~:text=Our%20prior%20work2%20has,expand%20access%20to%20health%20care.

New Year, New Strategies

The start of a new year is an ideal time to reassess revenue strategies. Patient eligibility and enrollment partners specialize in identifying and capitalizing on various assistance programs, ensuring that eligible uninsured/self-pay patients are enrolled promptly, and revenue is maximized.

Improve Operation Efficiency

The beginning of the year is the perfect moment to streamline internal processes. By outsourcing patient eligibility functions, healthcare providers can free up internal resources, reducing administrative burdens and allowing staff to focus on core responsibilities.

Improve Financial Health

Enhancing the financial health of your organization should be a priority in the new year. Partnering with a specialized service ensures you are well-equipped to navigate the complexities of eligibility verification and enrollment, minimizing bad debt and maximizing reimbursement.

Enhance Patient Engagement

Start the new year by enhancing patient engagement. Helping navigate the financial aspects of healthcare and educating patient of their responsibilities demonstrates a commitment to patient well-being. A smoother eligibility and enrollment process contributes to a positive patient experience, fostering loyalty and trust.

Strategic Compliance Measures

The new year often brings changes in regulations. A dedicated eligibility and enrollment partner stays up to date on these changes, ensuring that your organization remains compliant with evolving requirements. This proactive approach minimizes risks and potential penalties.

Data-Driven Decision-Making

Leverage the power of data and technology to drive decisions in the new year. Outsourcing eligibility and enrollment functions provide access to health insurance verification platforms, comprehensive eligibility screening services, and real-time reporting tools allowing healthcare providers to gain insights into their financial performance and make informed, strategic decisions.

Financial Resilience in Uncertain Times

As we step into a new year with its own set of challenges, building financial resilience is vital. A patient eligibility partner provides a reliable foundation, helping healthcare providers navigate uncertainties and economic fluctuations.

As the clock resets and a new year unfolds, healthcare providers have the opportunity to redefine their strategies for a more prosperous future. Embracing the expertise of a proven patient eligibility partner is a strategic move that contributes to increased revenue, operational efficiency, and improved patient experience. Start the new year with a commitment to financial health and resilience, positioning your organization for success in an ever-evolving healthcare landscape.

About EligibilityOne

EligibilityOne is a service solution specializing in third-party eligibility, designed to manage your self-pay population and reduce uncompensated care. We utilize real-time coverage discovery and verification, our comprehensive screening tool (AdvocatorAI), and expanded onsite coverage hours. We also offer complex claims support, disability specialists, credentialing solutions, and out-of-state Medicaid services through our experienced offsite business offices. Our complementary goals of promoting patient advocacy and improving your revenue cycle go hand-in-hand as we strive to create a healthier financial environment for your entire community.

Impacting Communities, One Patient at a Time.®

For many individuals, healthcare access can be challenging. With Medicaid's unwinding, 9 million Americans have been disenrolled and no longer have coverage1. In any community, the importance of affordable healthcare cannot be overstated.

It is estimated that Medicaid enrollment will decline by 8.6%

Patient eligibility vendors specialize in streamlining the enrollment process, offering healthcare providers a valuable resource to navigate the complexities of Medicaid programs. These vendors leverage advanced technologies and expertise to ensure accurate and up-to-date patient information, reducing the risk of eligibility-related issues and delays.

Here are the top 5 ways in which a reliable patient eligibility vendor can assist healthcare providers in the unwinding process of Medicaid:

1. Automated Eligibility Verification:

Patient eligibility vendors utilize automated systems to verify the eligibility of patients in real-time. This helps healthcare providers promptly stay informed about any changes in Medicaid status, enabling them to take proactive measures to address potential issues.

2. Comprehensive Data Management:

A reliable vendor employs secure, sophisticated data management systems to organize and maintain patient information safely and efficiently. This ensures that healthcare providers can access accurate and complete data, facilitating the re-enrollment process without unnecessary delays.

3. Regulatory Compliance:

Staying compliant with ever-changing Medicaid regulations is a significant challenge for healthcare providers. Patient eligibility vendors stay up with the latest regulatory updates, ensuring that the enrollment process aligns with current requirements, and reducing the risk of errors and denials.

4. Efficient Communication Channels:

Effective communication between healthcare providers and Medicaid agencies is crucial. Patient eligibility vendors often facilitate seamless communication, acting as intermediaries to address inquiries, submit documentation, and resolve issues promptly.

5. Staff Training and Support:

A reliable vendor provides training and support to healthcare staff in the Medicaid enrollment process. This ensures that the provider's team is well-equipped to navigate the intricacies of eligibility verification and enrollment, reducing the likelihood of errors.

In the ever-changing landscape of Medicaid, a reliable patient eligibility vendor can be a lifeline for healthcare providers, helping them navigate complexities, maintain compliance, and ensure the uninterrupted provision of healthcare services to patients. As the unwinding of Medicaid continues, partnering with a trusted vendor becomes a strategic decision for healthcare providers seeking efficiency, accuracy, and seamless patient re-enrollment processes.

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EligibilityOne is a vendor that is more than just a financial asset for healthcare providers; it is also a lifeline for underserved populations. EligibilityOne can improve the health and well-being of underprivileged communities by re-enrolling in Medicaid, discovering other qualifying programs if needed, lowering out-of-pocket expenditures, and promoting preventative care and health education. E1 Pulse, the online real-time dashboard, provides full transparency on your accounts at all times. Our online patient portal ensures the communication needed to complete the re-enrollment process successfully.

About EligibilityOne:

EligibilityOne is a service solution specializing in third-party eligibility, designed to manage your self-pay population and reduce uncompensated care. We utilize real-time coverage discovery and verification, our comprehensive screening tool (AdvocatorAI), and expanded onsite coverage hours. We also offer complex claims support, disability specialists, credentialing solutions, and out-of-state Medicaid services through our experienced offsite business offices. Our complementary goals of promoting patient advocacy and improving your revenue cycle go hand-in-hand as we strive to create a healthier financial environment for your entire community.

EligibilityOne: Impacting Communities, One Patient at a Time.

1Medicaid Enrollment and Spending Growth Amid the Unwinding of the Continuous Enrollment Provision: FY 2023 & 2024 | KFF. (2023, November 13). KFF. https://www.kff.org/medicaid/issue-brief/medicaid-enrollment-and-spending-growth-amid-the-unwinding-of-the-continuous-enrollment-provision-fy-2023-2024

Unyielding Commitment to Security

In the fast-evolving digital world, the security of sensitive information has become more crucial than ever before. At EligibilityOne, we understand the paramount importance of safeguarding our clients’ data, particularly in the healthcare sector where the stakes are incredibly high. Achieving the SOC 2 Type 2 certification is a clear indication of our commitment to implementing and upholding stringent security measures to protect the integrity, confidentiality, and availability of our clients’ information.

The SOC 2 Type 2 certification is governed by the American Institute of CPAs (AICPA) and is specifically designed for service providers storing customer data in the cloud. It requires companies to follow strict information security policies and procedures and mandates comprehensive, periodic auditing of these practices. Unlike the SOC 2 Type 1 certification, which assesses the design of security processes at a specific point in time, the SOC 2 Type 2 certification evaluates the operational effectiveness of these controls over a sustained period, ensuring consistent compliance and reliability.

Building a Foundation of Trust

At EligibilityOne, we pride ourselves on being more than just a vendor; we are a trusted partner to our clients. The SOC 2 Type 2 certification is an integral part of building and reinforcing this trust. By voluntarily subjecting our systems and processes to rigorous third-party audits, we are demonstrating our transparency and accountability, providing our clients with the assurance that their data is in safe hands.

This certification serves as a robust validation of our security practices, showcasing our dedication to maintaining a secure and resilient operating environment. It also simplifies the vendor assessment process for our clients, providing them with a reliable benchmark of our security posture. In doing so, we are not just meeting industry standards—we are exceeding them, setting a new benchmark for security excellence in the healthcare sector.

A Continuous Journey Toward Excellence

Achieving the SOC 2 Type 2 certification is not the end of our journey; it is a significant milestone in our ongoing commitment to security and excellence. At EligibilityOne, we view this certification as a catalyst for continuous improvement. We are dedicated to regularly reviewing and enhancing our security practices, staying ahead of emerging threats, and ensuring that our clients’ data is protected with the most advanced and robust security measures available.

We understand that in the healthcare industry, trust is earned through consistent and reliable performance. The SOC 2 Type 2 certification is a clear demonstration of our ability to deliver on our promises, providing secure, dependable solutions that our clients can trust. It is a reflection of our commitment to excellence, our dedication to security, and our unwavering commitment to being a trusted partner in the healthcare industry.

In achieving the SOC 2 Type 2 certification HealthWare Systems, our parent company, has solidified its position as a leader in secure healthcare solutions. We are immensely proud of this achievement, but more importantly, we are proud of what it represents: our dedication to security, our commitment to our clients, and our ongoing journey toward excellence. We look forward to continuing to serve our clients with the highest standards of security and reliability, building on this foundation of trust for years to come.

For more information on EligibilityOne’s secure technology solutions, visit www.eligibilityone.com where you can find more details about the organization’s extensive security measures on the FAQ page.

About EligibilityOne:

EligibilityOne is a service solution specializing in third-party eligibility, designed to manage your self-pay population and reduce uncompensated care. We utilize real-time coverage discovery and verification, our comprehensive screening tool (AdvocatorAI), and expanded onsite coverage hours. We also offer complex claims support, disability specialists, credentialing solutions, and out-of-state Medicaid services through our experienced offsite business offices. Our complementary goals of promoting patient advocacy and improving your revenue cycle go hand-in-hand as we strive to create a healthier financial environment for your entire community.

EligibilityOne: Impacting Communities, One Patient at a Time.

Below we share the story of how one of our Outstanding Eligibility Advocates went above and beyond for her patient at Mercy Hospital.

Impacting Communities, One Patient at a Time: A Family’s Debt Dissolved

Our Eligibility Advocate's patient had been pending Medicaid coverage, but due to the state incorrectly processing her application, the coverage did not start until two months later than it should have.

Sadly, the patient passed away during this time – during the 60 days when Medicaid considered her uncovered.

The patient’s family was at a loss. Not only was their beloved family member gone, but they were also suddenly responsible for the unexpected cost of her medical treatment, which they had thought Medicaid would cover.

Although her patient had died, our Advocate continued to pursue the case on behalf of the patient’s family. For months, she routinely called the Oklahoma Healthcare Authority, trying to reach a caseworker to correct and backdate the patient’s coverage. Unfortunately, each attempt went unresolved.

Yet, our Advocate never gave up. She escalated the account to the county supervisors four separate times, refusing to abandon the patient’s family. Finally, nine months after the patient had received a pending status, the proper corrections were made and the patient’s coverage was backdated.

Thank you for your determination to find justice for this patient and her family members.

You are truly an Outstanding Eligibility Advocate!

Visit our Community Impact page to read more Community Impact Stories.

The effective date of Medicaid expansion has not been determined as it cannot be implemented until North Carolina’s state budget is approved. But once expansion takes effect, it is estimated that over 600,000 North Carolinians will become eligible for Medicaid coverage and that healthcare access will improve for rural patients, veterans, working families, and patients suffering from opioid and substance abuse.

Medicaid expansion may also help some patients who lost health coverage (after becoming ineligible for Medicaid as a result of the end of the continuous Medicaid coverage requirement) to requalify for Medicaid coverage.

Update from 8/28/23 -

Due to Budget Delay, Medicaid Expansion Will Not Launch on Oct. 1 https://www.ncdhhs.gov/news/press-releases/2023/08/28/due-budget-delay-medicaid-expansion-will-not-launch-oct-1

Helping Your Patients Gain Medicaid Coverage Under North Carolina Medicaid Expansion

Patients may be unaware that they’ve been disenrolled from Medicaid or that the eligibility requirements are changing. They may not realize they need to reapply or that they will now qualify, under Medicaid expansion, when they hadn’t before.

Providing our service to your patients will help ensure that eligible patients are aware that they may qualify for Medicaid, or that they may need to re-enroll, and that their applications are completed fully and correctly. Additionally, our Eligibility Advocates can aid patients in applying for other financial assistance programs that could help cover the cost of their medical expenses and thereby lower your uncompensated care.

Contact us today to learn more about how we can help your eligible patients gain Medicaid coverage under North Carolina Medicaid expansion.

By Stephanie Salmich

Challenge 1: Uncompensated Care

According to the American Hospital Association, hospitals have provided almost $745 billion in uncompensated care to patients since 2000.

The AHA defines uncompensated care as “care provided for which no payment was received from the patient or insurer” or “the sum of a hospital's bad debt and the financial assistance it provides.” It does not include other unfunded care, such as underpayment from Medicare and Medicaid, that further impairs a hospital’s financial health.

According to KFF.org,

Challenge 2: Unreported Coverage

Patients can fail to accurately present their health coverage or other personal information to their providers. They may have unknown or forgotten health coverage. They may move, change employers, have overlapping, secondary, and tertiary coverage, or switch insurance carriers, among other possible explanations.

When a provider is unaware of existing insurance coverage, they may pursue the patient for the cost of care rather than the insurer. Valuable time is lost which can impact timely claim filing with the existing but unknown payer. It is essential to pursue the proper payer as early as possible in the revenue cycle to prevent claim denials, reimbursement delays, and wasted time and resources.

The Solution: Coverage Discovery

With a large self-pay population, as well as more “underinsured” patients whose insurance coverage can leave them with high out-of-pocket expenses that they cannot afford to pay, hospitals need a comprehensive solution for addressing uncompensated care and unreported coverage challenges.

A coverage discovery solution is the answer. This technology enables hospitals to automatically find any existing coverage so they can appropriately direct collection efforts and maximize reimbursement.

EligibilityOne’s Coverage Discovery Solution

EligibilityOne offers an all-in-one solution that truly sets a new standard for coverage discovery:

• Our solution goes way beyond simply generating a list of possible (active or inactive) coverages; it verifies that any coverage identified is actually in force and billable, then posts it directly to your system through an HL7 interface within 72 hours.

• If our solution determines that a patient does not have coverage, we then screen them to see if they are eligible for health coverage. If they are, we help them with the application and enrollment process to obtain it so that their current and future visits may be covered.

• Our onsite team strives to screen 90% of your self-pay patients before they are discharged.

• We screen patients to find health coverage or program eligibility in real time – this helps to ensure you don’t miss claim filing deadlines or waste resources pursuing the wrong party for payment.

• We scrub all accounts against major clearinghouses, state programs, and our own proprietary database. We search and update all programs available, including at the county, state, and federal level.

• Our state-of-the-art technology is powered by HealthWare Systems, a leading provider of fully integrated, customizable workflow solutions and revenue cycle and patient management software. HealthWare Systems specializes in applying robotic process automation (RPA) to healthcare processes and utilizes RPA for its insurance verification and coverage discovery solutions.

• Our comprehensive screening tool, AdvocatorAI, not only finds health coverage and program eligibility but is also designed to increase patient engagement and support patient advocacy through financial counseling and assistance.

• We are here to serve you and your patients. Our services make enrollment much easier and quicker for patients while vastly improving the patient experience by helping you avoid the need to repeatedly ask them for payment.

• With contingent-fee pricing, there is no risk to our clients; you don’t pay us until we’ve helped you collect your valuable reimbursement.

Contact us today to learn more about how our coverage discovery solution can help you find and verify unreported coverage while reducing uncompensated care for your facility.

By Stephanie Salmich

Below we share the story of how one of our Outstanding Eligibility Advocates went above and beyond for his patient at Methodist Dallas Medical Center.

Impacting Communities, One Patient at a Time: SSI Errors Uncovered

Our Eligibility Advocate has worked in the field of Patient Eligibility since 1998 and has 25 years of experience with federal, state, and county programs such as Social Security Disability, Medicaid, Texas Crime Victims’ Compensation, and the County Indigent Health Care Program.

He recently encountered one of the most difficult cases of his career.

Our Advocate first met his patient in the ICU where he introduced himself and the purpose of EligibilityOne. After gaining the patient’s trust and conducting a great deal of thorough detective work, he discovered that although the patient qualified for Supplemental Security Income (SSI) benefits, he’d been unable to acquire them due to errors that the state and federal SSA agencies had made.

These errors included only testing the patient for title XVI benefits and completing the SSI application with an incorrect onset date. The state agency had also completed the wrong program application.

Already faced with the stressors resulting from a serious medical issue, no patient should be expected to navigate the complex SSI system alone – especially when it comes to investigating mistakes made by SSA offices themselves. Fortunately, our Advocate provided the expertise and dedication to guide his patient through this process and empower him to pursue the SSI benefits he needed and for which he was eligible.

Over the course of many months of hard work, our Advocate and the patient made numerous phone calls together and under our Advocate's guidance the patient visited the local SSA office to get further information and re-complete the application process.

With his Advocate's support, the patient not only obtained SSI benefits, but also received back pay of $25,000.

The patient made the following statement:

Thank you to our Outstanding Eligibility Advocate for never giving up on this case. In the patient’s very own words, you are “a sincere man . . . with a true calling of helping others in difficult circumstances.”

You are truly an Outstanding Eligibility Advocate!

Visit our Community Impact page to read more Community Impact Stories.

Kansas City, MO: EligibilityAdvocates is now EligibilityOne after acquiring the credentialing company CredentialingOne and adding new services that include credentialing and provider enrollment.

The name change to EligibilityOne reflects the organization’s ability to provide all-in-ONE solutions to clients thanks to its extensive selection of service offerings. From Third-Party Eligibility and Coverage Discovery to Prior Authorizations, Out-of-State Medicaid and Medical Billing, EligibilityOne offers a wide array of services that deliver comprehensive solutions to healthcare’s financial and administrative challenges.

This selection of services has expanded with the acquisition of CredentialingOne, a company that was launched to streamline the complex credentialing process for healthcare providers and facilities.

Under the new acquisition, hospitals and physician groups will find a simple way to manage CAQH registration, credentialing, provider enrollment, and monitoring expirable credentials by utilizing the credentialing experts and state-of-the-art technology solutions of EligibilityOne.

“The new credentialing solutions are an excellent addition to our patient eligibility and out-of-state Medicaid services that benefit patients, providers, healthcare organizations, and the entire community. Adding credentialing services will enable us to directly serve providers in a whole new way.”

“We are excited to announce the acquisition of CredentialingOne, as well as our new name. ‘EligibilityOne’ encompasses our goal to provide all-in-one solutions to healthcare communities. As we keep growing, we will continue to innovate and develop best practices to deliver the highest standard of revenue cycle solutions,”

For more information about EligibilityOne’s new offerings, visit www.eligibilityone.com/credentialing-provider-enrollment.

About EligibilityOne:

EligibilityOne is a service solution specializing in third-party eligibility, designed to manage your self-pay population and reduce uncompensated care. We utilize real-time coverage discovery and verification, our comprehensive screening tool (AdvocatorAI), and expanded on-site coverage hours. We also offer complex claims support, disability specialists, credentialing solutions, and out-of-state Medicaid services through our experienced off-site business offices. Our complementary goals of promoting patient advocacy and improving your revenue cycle go hand-in-hand as we strive to create a healthier financial environment for your entire community. EligibilityOne: Impacting Communities, One Patient at a Time.

Contact Information:

Name: Stephanie Salmich Organization: HealthWare Systems Address: 2205 Point Boulevard, Suite 160, Elgin, IL 60123 Phone: (847) 649-5100

This provision is coming to an end; on April 1, 2023, states will begin “unwinding Medicaid,” disenrolling beneficiaries who are no longer eligible, and returning to routine eligibility and enrollment procedures for Medicaid.

KFF estimates that between 5 million and 14 million people will lose Medicaid coverage once this provision ends.1

Many of these patients may still be eligible for Medicaid.2 However, they will be uninsured unless they re-enroll in Medicaid or transition to other health coverage. Those who become ineligible for Medicaid may qualify for other health coverage as well.

CMS describes this as “the single largest health coverage transition event since the first open enrollment period of the Affordable Care Act.”3

Update 8/28/23

CMS Takes Action to Protect Health Care Coverage for Children and Families

https://www.cms.gov/newsroom/press-releases/cms-takes-action-protect-health-care-coverage-children-and-families

Is your facility ready?

Here are our suggestions for managing the forthcoming significant increase in your uninsured patient population:

1. Screen ALL uninsured patients at registration.

It is crucial to determine whether your patient qualifies for Medicaid, other third-party payer programs, and/or payment plans. Automated screening solutions allow any employee to walk through the screening process with the patient and get a real-time result at the end of the screening.

2. Run all uninsured patients through a Coverage Discovery solution.

Run all patients’ information through a Coverage Discovery solution to verify any existing and billable health coverage that may have gone unreported by the patient.

3. Assist patients with enrollment.

By assisting your patient with Medicaid (or other third-party payer) enrollment, you can help ensure the process is completed and the patient is covered for their next visit to your facility.

4. Educate patients about the unwinding of Medicaid.

Educate your patients about the risk of loss of coverage and the potential need to re-enroll in Medicaid. According to KFF, patients with limited English proficiency (LEP), patients with disabilities, and patients who have relocated since the start of the pandemic may be more at risk of losing Medicaid coverage.1 Remind patients to make sure their contact information is updated with CMS as soon as possible so that they receive any communications regarding their benefits or re-enrollment.

5. Follow up on applications.

Stay on top of those enrollments; missing documents may lead to denials. By following up regularly on applications, you can better ensure the patient is successfully enrolled in the program.

Unwinding Medicaid: EligibilityOne Is Here to Help

At EligibilityOne, we employ experienced Patient Advocates and state-of-the-art technology to provide you and your uninsured patients with the eligibility services listed above, and much more.

Our goal is to screen 90% of our clients’ uninsured patients before discharge and our Patient Advocates are available on site (including in the Emergency Department) to help patients at a minimum of 12 hours per day, 6 days per week in order to accomplish this objective and assist patients with applications and enrollments. Plus, our real-time dashboard reporting enables facilities to forecast their uninsured patient population and track enrollments.

By partnering with EligibilityOne and providing these services to your patients, you will help alleviate the return of Medicaid “churn.” This disenrollment and re-enrollment of Medicaid beneficiaries within short periods of time results in coverage gaps, administrative costs, and access barriers for patients who may not understand renewal procedures or forms.1 Our Patient Advocates can guide them through these processes to simplify and improve their patient experience.

As KFF states, “Efforts to conduct outreach, education and provide enrollment assistance can help ensure that those who remain eligible for Medicaid are able to retain coverage and those who are no longer eligible can transition to other sources of coverage.”1 Allow us to handle these efforts for you and make the unwinding of Medicaid as smooth as possible for your facility and patients.

Sources:

1 KFF – “10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision” (2023)

2 Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services – “Unwinding the Medicaid Continuous Enrollment Provision: Projected Enrollment Effects and Policy Approaches (Issue Brief HP-2022-20)” (2022)

3 Centers for Medicare & Medicaid Services – “Unwinding and Returning to Regular Operations after COVID-19” (2023)

Below we share the story of how one of our Outstanding Eligibility Advocates went above and beyond for her patient at White Rock Medical Center.

Impacting Communities, One Patient at a Time: An SSI Obstacle Overcome

Our Outstanding Eligibility Advocate went the extra mile to ensure her patient’s SSI benefits remained in place.

Our Advocate has helped numerous patients apply for and attain Social Security Disability benefits, including many homeless patients who may not own a phone and cannot be easily contacted.

One patient in particular was especially grateful for our Advocate's Social Security expertise when the patient encountered an obstacle to her eligibility.

Sometime after she initially assisted this patient with obtaining her SSI benefits, the patient contacted our Advocate with some upsetting news. She had received a letter stating that her SSI benefits would be cut off because the balance in her bank account was too high and she was now deemed ineligible to receive these benefits.

The patient was understandably confused and worried. She depended on her SSI benefits – why was she suddenly losing them?

Our Eligibility Advocate clarified the issue with the patient and helped her write a letter to the Social Security Administration office explaining the reason for the amount of money in her account and requesting that her SSI benefits remain in place due to her medical needs.

As a result, the patient was able to continue to receive the SSI benefits for which she qualified.

Our Advocate's sincere commitment to her patient’s well-being went much further than the initial SSI application. She had gained the patient’s trust and confidence when helping her the first time around and the patient knew she could count on our Advocate when facing this new challenge as well. With dedication and perseverance, our Advocate was quick to guide the patient through what may otherwise have been a very frustrating and distressing experience.

Thank you for following through for your patient to ensure she received the SSI benefits and medical treatment she needed.

You are truly an Outstanding Eligibility Advocate!

Visit our Community Impact page to read more Community Impact Stories.

Below we share the story of how one of our Outstanding Eligibility Advocates went above and beyond for an employee at Methodist Dallas Medical Center.

Impacting Communities, One Patient at a Time: Victims No More

With the support of our Outstanding Eligibility Advocate, two young sisters were empowered to obtain Crime Victims’ Compensation and reimbursement for lost wages.

One morning as our Eligibility Advocate arrived at work, a housekeeping employee at Methodist Dallas Medical Center opened up to her about a traumatic experience her nieces had recently been through. The employee’s nieces had been refueling their car at a gas station when they were suddenly caught in the middle of open gunfire.

The sisters sustained gunshot wounds and were rushed to the hospital. Fortunately, they survived and would physically recover. However, our Advocate recalled the anguish in their aunt’s voice as she explained her concern over how to help her sister pay the hospital bill along with future therapy sessions her nieces would need.

At the time, the employee was unaware of the Crime Victims’ Compensation Program. Our Eligibility Advocate not only informed the employee of this assistance option, but also volunteered to help both of her nieces complete an application.

With a huge sigh of relief, the employee immediately called her nieces and our Advocate started helping them right away, making sure the paperwork was fully completed, signed, and submitted.

After a month and a half, they all received the wonderful news that both were approved at 100% as well as compensated for lost wages!

Our Advocate went out of her way to help an employee whom she had grown to love and appreciate during their shared time at Methodist Dallas Medical Center. This willingness to take on additional work outside of her regular patients’ cases, coupled with the rapport she had developed with this employee that made her feel comfortable sharing her story, led to the most favorable outcome for two young victims of violent crime and their extended family.

Thanks to the knowledge and support our Eligibility Advocate provided, two young women were empowered to dramatically improve a situation that had seemed out of control. Their aunt was extremely grateful for our Advocate's help, and our Advocate was overwhelmed with joy knowing that she made a difference for this family. As our Advocate stated, “I see it as God fulfilling His purpose in me and I hope to continue doing His work for as long as I am employed with EligibilityOne.”

Thank you for following your calling to make a difference for families when they need it most.

You are truly an Outstanding Eligibility Advocate!

Visit our Community Impact page to read more Community Impact Stories.

Rural patients are still lacking insurance at a higher rate than non-rural patients.

Statistically, patients with inadequate health coverage may delay or forgo medical care due to financial concerns. This includes “underinsured” patients whose health plans can leave them with high out-of-pocket costs that they cannot afford to pay.

Rural patients face other barriers to healthcare access, which may include:

1. Living long distances from healthcare facilities/specialists.

2. Poverty.

3. Provider shortages.

4. Rural facility service cutbacks.

5. Rural hospital closures.

Unfortunately, the COVID-19 pandemic has exacerbated these issues for rural healthcare.

Hope for Rural Healthcare: Improving Healthcare Access for Rural Patients

Addressing potential financial issues for rural patients and their healthcare organizations can significantly improve healthcare access.

Our proprietary screening software, AdvocatorAI, can empower your employees to assist uninsured patients with identifying existing health coverage or alternate funding sources for their medical bills.

By doing so, you can drastically reduce or eliminate out-of-pocket medical expenses for your patients.

Most importantly, you can provide them with the peace of mind that health insurance or financial assistance brings so that monetary worries no longer inhibit them from accessing care.

Furthermore, you will reduce uncompensated care to improve your revenue cycle and better ensure you won’t have to cut back on services and your providers can continue serving your patients and community.

Why EligibilityOne?

EligibilityOne can help you improve healthcare access for rural patients by enhancing the financial outlook of your patients, your organization, and your community.

Here are just a few reasons to choose EligibilityOne as your rural facility’s partner in patient eligibility services:

1. We operate as an extension of your team, not a replacement: We do not want to take jobs away from your community; we are here to assist your current team members by providing access to resources such as industry-leading technology, clearinghouses, and a support team at our business office for follow-up.

2. All accounts are worked: Our follow-up team works all accounts no matter the balance and all unlinked accounts are closed within 30 days, keeping your A/R days down.

3. Our state-of-the-art technology is designed to serve you and your patients: Utilizing AdvocatorAI, your staff can screen patients to find health coverage or program eligibility in real time while increasing patient engagement and supporting patient advocacy through financial counseling and assistance.

4. Our real-time online reporting platform provides account transparency: Drill down to account-specific detail at any time and easily download reports.

5. Don’t miss out on valuable out-of-state Medicaid reimbursement: We can bill and follow up on out-of-state Medicaid accounts on behalf of your facility and are experienced in all 50+ state Medicaid programs.

6. We believe in impacting communities, one patient at a time: Read our Community Impact Stories to learn how we are making a difference in the communities we serve.

Our complementary goals of promoting patient advocacy and protecting the financial viability of your rural facility go hand-in-hand. Let’s work together and empower your team to break down barriers to healthcare access.

Connect with us. Together, we can begin improving healthcare access for rural patients in your community.

Author: Stephanie Salmich

#uninsured #healthcoverage #ruralfacility #rural #ruralpatients #improvinghealthcareaccess #healthcareaccess #ruralhealthcare #EligibilityOne #improvinghealthcareaccessforruralpatients

The No Surprises Act is intended to protect patients from surprise medical bills (when patients are unknowingly treated by out-of-network providers) and balance billing (when patients are charged for the remainder of what their insurance does not pay).1

Read on for an overview of the new rules and how this law affects both insured and uninsured patients.

Overview of the No Surprises Act

“Requirements Related to Surprise Billing; Part I,” an interim final rule issued July 1, 2021:

1. “Bans surprise billing for emergency services” which “must be treated on an in-network basis without requirements for prior authorization.”1

2. Restricts surprise billing for “non-emergency care from out-of-network providers at in-network facilities,”2 which protects patients who are not given the chance to choose an in-network provider.

3. Restricts surprise billing for “air ambulance services from out-of-network providers.”2

4. Extends protections from balance billing, which is already prohibited by Medicare and Medicaid, to “Americans insured through employer-sponsored and commercial health plans.”1

“Requirements Related to Surprise Billing; Part II,” an interim final rule issued September 30, 2021:

1. “Details a process that will take patients out of the middle of payment disputes.”3

2. Provides “a transparent process to settle out-of-network (OON) rates between providers and payers.”3

3. Outlines “requirements for health care cost estimates for uninsured (or self-pay) individuals.”3

How Does the No Surprises Act Protect Uninsured Patients?

This law requires that providers or facilities inquire about patients’ insurance status when scheduling and “provide a good faith estimate of expected charges for items and services” to uninsured/self-pay patients (those who do not have benefits for an item/service under a health plan or who choose not to have a claim submitted to their plan for the item/service).4

CMS Administrator Chiquita Brooks-LaSure explained, “we are requiring health care providers and health care facilities to provide uninsured patients with clear, understandable estimates of the charges they can expect for their scheduled health care services.”3

If an uninsured or self-pay patient is billed for an amount “substantially in excess” ($400 or more) of the good faith estimate they received, they may be eligible for the “patient-provider dispute resolution process” to determine a payment amount. This process must be initiated within 120 days of receipt of the bill.4

In addition to instituting financial safeguards, the No Surprises Act can also improve healthcare access. As HHS Secretary Xavier Becerra stated, “No patient should forgo care for fear of surprise billing.”1 With these new rules in place, patients may be less likely to postpone or avoid needed healthcare due to concerns about the financial ruin that often comes from surprise medical bills.

Lowering Patients’ Healthcare Costs

The new protections established by the No Surprises Act can help lower both insured and uninsured patients’ out-of-pocket healthcare costs by sheltering them from unexpected and/or excessive medical bills.

EligibilityOne can further reduce patients’ medical expenses by helping them obtain health coverage and/or financial assistance. Our Patient Advocates work one-on-one with patients to determine their eligibility for various insurance plans and benefit programs and assist them with the application process.

Additionally, we can help patients resolve their patient balances and understand their patient responsibility.

Contact us to learn more about how the No Surprises Act will affect patients or to get in touch with a Patient Advocate.

Sources

1 CMS (U.S. Centers for Medicare & Medicaid Services). “HHS Announces Rule to Protect Consumers from Surprise Medical Bills.” (2021). Retrieved from https://www.cms.gov/newsroom/press-releases/hhs-announces-rule-protect-consumers-surprise-medical-bills

2 CMS (U.S. Centers for Medicare & Medicaid Services). “Overview of rules & fact sheets.” (2021). Retrieved from https://www.cms.gov/nosurprises/Policies-and-Resources/Overview-of-rules-fact-sheets

3 HHS (U.S. Department of Health & Human Services). “Biden-Harris Administration Advances Key Protections Against Surprise Medical Bills, Giving Peace of Mind to Millions of Consumers Plagued by High Costs.” (2021). Retrieved from https://www.hhs.gov/about/news/2021/09/30/biden-harris-administration-advances-key-protections-against-surprise-medical-bills.html

4 CMS (U.S. Centers for Medicare & Medicaid Services). “Requirements Related to Surprise Billing; Part II Interim Final Rule with Comment Period.” (2021). Retrieved from https://www.cms.gov/newsroom/fact-sheets/requirements-related-surprise-billing-part-ii-interim-final-rule-comment-period

By Stephanie Salmich

#goodfaithestimate #surprisebilling #NoSurprisesAct #outofnetwork #NoSurprises #innetwork #surprisemedicalbills #uninsuredpatients #balancebilling #medicalbills

Section 116 of the No Surprises Act, “Protecting patients and improving the accuracy of provider directory information,” seeks to safeguard patients from relying on incorrect provider data that can lead to surprise medical bills.

The No Surprises Act will directly affect all payers and providers who will need to assess their compliance procedures related to provider directories and information verification.

Here is what you need to know about how the No Surprises Act requirements affect compliance with provider directories:

1. Every 90 days, payers must verify providers’ information and providers must assist with this process by submitting regular updates.

2. When providers make changes to their information, online provider directories must be updated within 48 hours.

3. Providers whose information is unverified will be removed from online provider directories.

Essentially, providers will need to maintain their information with payers on about a quarterly basis beginning in 2022 or risk removal from online provider directories and lose the marketing presence that these directories provide when patients search for in-network providers online.

The No Surprises Act requirements will help keep provider information current and improve the accuracy of provider directories. However, if you’re doing credentialing work yourself, these changes will require you and your staff to commit even more time and attention to credentialing and compliance.

EligibilityOne can handle these time-consuming tasks for you. We offer credentialing and compliance services, including:

1. Updating payers and provider directories with providers’ data.

2. Monitoring providers’ expirables (CE credits, licenses, certifications, insurance, etc.) so they don’t miss renewal deadlines.

3. CAQH registration.

4. Health plan audits.

5. And much more.

We can even build a custom maintenance and monitoring program that works best for your providers and practice.

Providers and payers need to prepare now for the new rules that begin in 2022.

Contact us today to put a plan in place that will ensure you and your providers comply with the No Surprises Act requirements, avoid removal from provider directories, and set the foundation for a successful new year!

By Stephanie Salmich

#Nosurprises #payers #providerdirectories #providers #NoSurprisesAct #credentialing #credentialingandcompliance #NoSurprisesActrequirements

This month we are recognizing Julie Landa as Outstanding Patient Advocate!

Below we share the story of how she went above and beyond for her patient at Methodist Dallas Medical Center.

Impacting Communities, One Patient at a Time: No Patient Too Small

Our Outstanding Patient Advocate Julie Landa refused to give up on helping an abandoned NICU patient obtain Medicaid coverage despite the challenges.

An infant patient had been abandoned in the NICU.

Sadly, this child was left alone – with no health insurance, no birth certificate, no social security number, and no name.

Our Patient Advocate Julie Landa spoke up for this baby who had no voice of her own and no family to help her.

Despite the many roadblocks in place due to the baby’s lack of birth facts and parents, Julie was able to secure health coverage for the patient. When challenges arose, Julie never gave up; instead, she reached out to Case Management at the hospital and asked them to write a letter on the child’s behalf which explained the unique circumstances. Julie sent the letter to Medicaid and the patient is now insured, thanks to Julie’s resourcefulness and perseverance.

Fortunately, the baby was discharged from the NICU. She was placed in the care of Child Protective Services.

Julie demonstrated how every patient deserves to be advocated for and supported, no matter how young they may be. Through the collaboration of our Patient Advocate Julie Landa, her supervisor Fauneil Knox-Clayton, and the dedicated Case Manager at Methodist Dallas, the baby’s health needs are now covered under Medicaid.

Thank you, Julie, for standing up for the smallest and most vulnerable of patients. You are truly an Outstanding Patient Advocate!

What Does Missouri Medicaid Expansion Mean for Your Missouri Hospital?

More of your low-income patients will now qualify for health coverage through Missouri Medicaid. Having staff available to screen your patients for eligibility while in house will increase the number of patients who apply and are ultimately approved.

Those who are newly eligible under Missouri Medicaid expansion may now submit their applications, although the state expects to start processing them after October 1, 2021.

While these applications may not be processed until October, it is in your patients’ (and your hospital’s) best interest that eligible patients begin enrolling now. According to the Governor’s Office, “Qualifying health care costs that are incurred by eligible Missourians between the time they apply and when DSS is able to verify their eligibility may be reimbursed at a later date.”

Helping Your Patients Gain Health Coverage Under Missouri Medicaid Expansion

EligibilityOne's Patient Advocates can screen your patients on site and assist them with the Medicaid application process. We also educate patients on their financial responsibilities and new health coverage. All of our services are free to patients as we are contracted at a performance-based rate with each healthcare facility.

Providing our service to your patients will help ensure that eligible patients are aware that they may qualify for Medicaid and that their applications are completed fully and correctly. Additionally, our Patient Advocates can aid patients in applying for other financial assistance programs that could help cover the cost of their medical expenses and thereby lower your uncompensated care.

Contact us today to learn more about how we can help your eligible patients gain health coverage under Missouri Medicaid expansion.

#PatientEligibility #HealthCareBlog #Missouri #Medicaid #MedicaidExpansion #MissouriMedicaid #EligibilityAdvocates #HealthcareAccess

Currently, COVID-19 testing, treatment, and vaccines may be free to anyone without health insurance.1

Below are answers to frequently asked questions that many uninsured patients have.

FAQs: COVID-19 Services for Uninsured Patients

Which COVID-19 services are free to uninsured patients?

COVID-19 testing, treatment, and vaccines are all available as free services to uninsured patients.1

Why are these COVID-19 services free?

COVID-19 services for uninsured patients are paid for by the federal HRSA COVID-19 Uninsured Program.1

What if I receive a bill for COVID-19 services?

You should contact your provider/healthcare facility and request that they bill the HRSA COVID-19 Uninsured Program instead of you.1

What if I have already paid the bill I received for COVID-19 services?

You may be entitled to a refund if your provider billed HRSA as well. First, check if the bill lists HRSA reimbursement for the COVID-19 services. Also, contact the provider/healthcare facility who billed you to discuss a possible refund.2

If you cannot obtain a refund that you believe you are due, you may file a complaint with the HHS Office of Inspector General by calling the hotline at 1-800-HHS-TIPS or visiting their website (https://TIPS.HHS.GOV).2

You may be responsible for payment if the care was not eligible for HRSA reimbursement or the provider did not submit the claim to HRSA. However, at this time, any provider administering COVID-19 vaccines cannot charge you for the vaccine or administration of the vaccine.2

Does immigration status affect eligibility for free COVID-19 services?

No; all uninsured patients are eligible for free COVID-19 services regardless of immigration status.1

Will my immigration status be reported to an immigration agency if I receive free COVID-19 services?

According to HRSA, “Testing, treatment or vaccinations paid for by the federal government will not affect anyone’s immigration status or be shared with immigration agencies.”1

Do I need a Social Security Number or government ID to obtain free COVID-19 services?

No; although you may be asked for this information by the healthcare facility or pharmacy, you can still receive free COVID-19 testing, treatment, and/or vaccination if you unable to provide it.1

EligibilityOne: Helping Uninsured Patients

EligibilityOne assists uninsured patients with finding health coverage and/or applying for other programs to help cover their medical costs. Our services are free to patients.

To learn more about how we help patients, please read the stories of how our Patient Advocates are making a real difference in patients’ lives.

Contact us to reach an EligibilityOne Representative or for more information on COVID-19 services for uninsured patients.

Sources

Answers to the questions above were obtained from:

1 HRSA (Health Resources & Services Administration). “Uninsured Patient COVID Services Poster.” (2021). Retrieved from https://www.hhs.gov/sites/default/files/uninsured-patient-covid-services-poster.pdf

2 HRSA (Health Resources & Services Administration). “Impact on Patients.” (2021). Retrieved from https://www.hrsa.gov/provider-relief/patient-impact/

By Stephanie Salmich

#uninsured #HRSACOVID19 #COVID19services #freeCOVID19services #COVID19testing #HRSACOVID19UninsuredProgram #COVID19vaccines #COVID19 #COVID19servicesforuninsuredpatients #uninsuredpatients

Expanding Health Coverage for AI/AN People

As of 2019, an estimated 19.1% of American Indian and Alaska Native people in the U.S. were uninsured.1

Inadequate health coverage is a significant barrier to healthcare access and often causes patients to delay or avoid medical care altogether.

In states that expand Medicaid, more people qualify for Medicaid based on income; so, more members of the AI/AN community become eligible for Medicaid coverage and may no longer be uninsured. This helps remove a major obstacle to healthcare access and enables many AI/AN people to obtain care from other providers in addition to their IHS facility.

Increasing Third-Party Revenue for IHS Facilities

After states were given the option to expand their Medicaid programs beginning in 2014, third-party collections for federally operated IHS facilities increased by 51% from 2013 to 2018.2

During that same timeframe, the percentage of patients at these facilities who reported having health insurance increased by an average of 14 percent, with facilities located in states that expanded Medicaid seeing the biggest increases.2

An increase in third-party revenue in the form of payments from patients’ Medicaid and private health insurance coverage made it possible for IHS facilities to expand their on-site services and lower the need for patients to use the Purchased/Referred Care (PRC) program, while also allowing for an extension in the complexity of services delivered off-site through PRC.2

If your IHS facility is in a state that is or will be expanding Medicaid, you can also expect a boost in third-party revenue as a result. This money can be used toward adding more providers and specialty services, purchasing medical equipment, facility maintenance, and more, all of which will greatly enhance the quality and accessibility of care for your AI/AN community.

Best Practices for Optimizing Self-Pay Conversions & Third-Party Revenue

A patient eligibility and enrollment service can ensure that as many of your patients as possible gain coverage under Medicaid expansion by:

1. Helping patients apply for Medicaid – Eligibility professionals have the resources and expertise to help patients correctly and more efficiently complete their Medicaid applications.

2. Screening patients before discharge – Patients may not realize they qualify for Medicaid, and those who are screened for eligibility and engaged before they leave your facility will be much more likely to follow through with the Medicaid application process.

3. Meeting with patients one-on-one and in person – Face-to-face and personalized engagement with patients results in higher self-pay conversion rates than attempts to assist patients via email and phone alone.

EligibilityOne: Helping IHS Facilities Maximize the Benefits of Medicaid Expansion

Our Patient Advocates work on site to help patients enroll in Medicaid and other health plans or financial assistance programs. By finding alternative funding sources for patients’ medical costs and helping them apply, we can increase your third-party revenue and improve patients’ access to care.

Our services are free to patients and provide a guaranteed ROI for our clients thanks to our performance-based pricing model. We are only paid once we’ve successfully helped you collect reimbursement.

EligibilityOne delivers more self-pay conversions through one-on-one interaction with patients, a pre-discharge screening rate of 90 percent, expanded on-site hours and home visits, advanced technology and screening software, and our expertly trained, compassionate staff who are changing patients’ lives every day.

Contact us to learn more about how we can increase Medicaid enrollment at your IHS facility and help you maximize the benefits of Medicaid expansion.

Sources:

1 United States Census Bureau. “Selected Characteristics of Health Insurance Coverage in the United States.” (2019). Retrieved from https://data.census.gov/cedsci/table?q=Health%20Insurance&g=0100000US&y=2019&tid=ACSST1Y2019.S2701&hidePreview=true

2 GAO (United States Government Accountability Office). “GAO-19-612 Highlights, Indian Health Service: Facilities Reported Expanding Services Following Increases in Health Insurance Coverage and Collections.” (2019). Retrieved from https://www.gao.gov/assets/gao-19-612-highlights.pdf

By Stephanie Salmich

#uninsured #AIAN #IHS #Medicaidexpansion #IHSfacilities #Medicaid #IndianHealthService #healthcareaccess #AmericanIndianandAlaskaNative #thirdpartyrevenue