The Meduit Innovation Lab Blog

Maximizing Recovery of Uncompensated Care Dollars

Posted by Meduit RCM on Dec 12, 2022 8:00:00 AM

Approximately 5% of the patient population - or 3.8 million - drop from public coverage every month, resulting in $38 billion in uncompensated care in spite of the fact that more patient encounters qualify for reimbursement than ever before due to the passage of the Affordable Care Act (ACA). The states that have expanded Medicaid have made the greatest progress in increasing health coverage. In states that did not expand Medicaid, hospital closures have spiked, while states that have expanded Medicaid have seen their hospital closure rates decline.

Our recent survey of hospitals revealed that in states that expanded Medicaid coverage, 81% of patients qualified for Medicaid, and of that population 69% also qualified for additional benefits offered by other federal, state and private programs. Of those who did not qualify for Medicaid, 67% still qualified for additional benefits.

Meduit can help hospitals recover uncompensated care dollars by identifying patients eligible for Medicaid and other programs through MedQualify. MedQualify leverages AI and automation for qualifying, verifying coverage, end-of-month reporting and more with web-based access and in-app reporting. 

Meduit also identifies and enrolls patients in additional programs for no charge in order to benefit the overall health and future health of the patient. We offer the MedQualify solution on contingency-based pricing so the hospital only pays when the patient is qualified and the hospital is reimbursed. 

Learn more about how MedQualify can increase hospital reimbursements by identifying patients who qualify for Medicaid and other programs here:

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