340B Program Under Pressure: Critical Changes Ahead
For years, the 340B Drug Pricing Program has been a lifeline for hospitals serving vulnerable populations. But federal policy changes are reshaping this landscape, creating new financial challenges for safety-net providers. Three major shifts are threatening hospital stability. Here’s what healthcare leaders need to know about these emerging pressures. “These policy shifts don’t change […]
Government Shutdowns: The Hidden Healthcare Downstream Effects
A government shutdown occurs when Congress and the President cannot agree on a budget to fund federal agencies. While essential services like emergency care, VA hospitals, and air traffic control continue operating, many federal offices handling “behind-the-scenes” work are forced to furlough employees or pause operations. For hospitals, this doesn’t mean Medicare or Medicaid checks […]
RCA’s ARRM: More Than At-Risk Revenue – A Compliance-Driven Recovery Model
ARRM is not just another at-risk revenue tool. It’s a compliance-driven recovery model designed to help hospitals connect patients to programs: Maximize cash recovery on self-pay accounts. Protect tax benefits tied to uncompensated care. Demonstrate alignment with IRS Section 501(r) and state charity care laws. By embedding compliance into every step of the recovery […]
CMS Tightens Medicaid & CHIP Eligibility Oversight: What It Means For Hospitals
The Centers for Medicare & Medicaid Services (CMS) has launched a nationwide initiative aimed at strengthening eligibility oversight for Medicaid and the Children’s Health Insurance Program (CHIP). This effort focuses on ensuring that only eligible individuals remain enrolled. At Resource Corporation of America (RCA), we recognize the new challenges this poses to hospitals and health […]
Open Enrollment Changes and Catastrophic Coverage: What Hospitals Need to Know
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 […]