Medicaid Coverage Loss Threatens Hospitals with $63 Billion in Uncompensated Care Costs

Millions of Americans are at risk of losing Medicaid coverage due to the One Big Beautiful Bill Act, putting significant pressure on hospitals' finances. To mitigate this challenge, Cedar has introduced Cedar Cover, an integrated digital solution designed to assist patients in accessing coverage and financial assistance while protecting provider revenue. This innovative solution enables healthcare providers to adapt quickly to legislative changes and deliver faster ROI compared to legacy vendors. The solution has already gained the trust of nearly a dozen leading health systems, including Novant Health, Baystate Health, ApolloMD, and The Iowa Clinic.

Key Takeaways:

  • Over 10 million Americans face potential Medicaid coverage loss due to the One Big Beautiful Bill Act, posing a significant threat to hospital finances.
  • The loss of Medicaid coverage is expected to drive hospital uncompensated care costs up by $63 billion over the next decade.
  • Cedar Cover, an integrated digital solution, aims to help patients access coverage and financial assistance while protecting provider revenue.
  • Cedar Cover offers four key capabilities: Medicaid Enrollment, Proactive Medicaid Renewal Workflows, Denials Resolution, and Medication Assistance.
  • The solution has gained the trust of nearly a dozen leading health systems, including Novant Health, Baystate Health, ApolloMD, and The Iowa Clinic.
  • 17% of eligible patients churn out of Medicaid due to procedural barriers and administrative hurdles.
  • 65% of denied claims are never resubmitted, creating substantial coverage gaps and increased patient financial responsibility.
  • Fragmented technology and digital barriers render existing assistance programs virtually unreachable for many patients.

Statistics:

  • Over 10 million Americans are at risk of losing Medicaid coverage due to the One Big Beautiful Bill Act.
  • Hospital uncompensated care costs are expected to rise by $63 billion over the next decade due to Medicaid coverage loss.
  • 17% of eligible patients don't renew their Medicaid coverage due to procedural barriers and administrative hurdles.
  • 65% of denied claims are never resubmitted, leaving patients with significant financial responsibility.

Sources:

  • NewsRx, Managed Care Business Week, 2025 NOV 4.
  • The One Big Beautiful Bill Act (HR1).
  • Cedar Cover, an integrated digital solution for patient affordability.