With support from three new partners — Pointcare, ThriveLink, and Elora — we're equipping community health centers with solutions to best prepare for upcoming Medicaid changes.
Why This Matters
On January 1, changes to Medicaid mandated by H.R. 1 go into effect. As a result, it will be increasingly difficult for patients to maintain coverage.
What that potentially means for health centers:
- More Uninsured Patients: Significant coverage losses are expected due to stricter reporting requirements and more administrative hurdles.
- Reduced Medicaid Revenue: Cash flow pressure will increase, particularly for health centers with a high Medicaid payer mix.
- Increased Administrative Burden: Health centers will have to devote more time to eligibility verification, renewal assistance, patient outreach, and documentation support.
Scalable Solutions to Meet Member Need
To mitigate these challenges and ensure patients get the care they need, CNECT members can choose from three discounted patient outreach and eligiblity solutions, ranging from full coverage management to targeted support.
Pointcare:Â A Fully Managed, Automated Coverage Solution
- Cross-references available patient, clinic, and health plan data to monitor renewal data and identify gaps in coverage.
- Detects lapses, re-engages patients, submits enrollments, and keeps coverage on track — automatically.
- Empowers patients to apply for or renew coverage from their phone, in their native language, which increases capacity for busy enrollment teams.
ThriveLink: An AI-Powered Patient Engagement and Enrollment Outreach Solution
- Uses multilingual telephonic outreach and digital AI agents to engage patients and guide them through Medicaid enrollment and renewal processes.
- Streamlines communication and simplifies processes by allowing patients to verbalize answers.
- Provides round-the-clock assistance with human support available 24/7.
Elora: An Eligibility and Workflow Automation Platform
- Provides periodic eligibility checks and monthly sweeps to keep coverage up to date.
- Flags renewal and coverage gaps so staff can support within the reinstatement window.
- Supports with patient identification, tracking, AI-assisted documentation, and prioritized follow-up.
Prepare to Protect Patient Coverage and Revenue
The impact of H.R. 1 doesn't have to disrupt your finances and operations.
To access the support you need to keep patients covered, join CNECT for free.
Already a member? Contact your CNECT representative and ask about our patient outreach and eligibility management solutions.