Author: Qualify Health

Pharmacy economics are shifting fast for every 340B covered entity, from HRSA’s cash-first pilot to manufacturer claim-level data mandates.

High deductibles are turning patients into primary payers. Restructure patient collections and financial management to protect operating margins.

With premium tax credits expiring in 2026, an ACA affordability calculator helps revenue cycle teams convert self-pay accounts into covered claims.

What is Medicaid redetermination under OBBBA? The January 2027 deadline puts $31.9B in hospital revenue and millions of patients at risk.

Bad debt and charity care are eroding hospital margins. What is uncompensated care, and how does early screening convert losses into recovery?

Use the ACA measurement period to audit variable-hour patients, verify historical hours, and reduce self-pay write-offs across the 2026 fiscal year.

The 340B audit landscape is shifting fast as HRSA tightens oversight of $81B in purchases. See why 75% of findings trace to OPAIS errors.

Stop writing off recoverable accounts. Hospital presumptive eligibility separates charity care from bad debt and secures Medicaid reimbursement.

The ACA stability period protects variable-hour workers from coverage loss in 2026. Learn how revenue cycle teams can verify and reinstate plans.