OBBBA 2027: The Coverage Disruption Event You Need to Plan For 

On January 1, 2027, three OBBBA provisions hit at once: six-month Medicaid redeterminations, new work requirements and a shorter retroactive coverage window. Together, they add up to a coverage disruption event, not a reimbursement event. Patients fall out of Medicaid over administrative technicalities, self-pay volumes climb and charity care and bad debt start to blur together on the books. 

In this session, we'll break down what's actually changing, model the margin impact of a 5%, 10% or 15% Medicaid enrollment drop and show why the organizations that come out ahead will be the ones who can spot coverage loss early, guide patients to the right financial pathway and stop Medicaid churn before it turns into bad debt. 

What You'll Learn

• Map the 1/1/27 triggers. Understand how accelerated redeterminations, work requirements and shorter retroactive Medicaid windows will hit coverage volume, self-pay growth and 340B eligibility. 
• Quantify the margin exposure. See how Medicaid enrollment drops shift patients to self-pay, widen the gap between bad debt and uncompensated care and add new cost-sharing and collection complexity for affected populations. 
• Build the early-warning pathway. Learn how charity screening and propensity-to-pay scoring together catch coverage loss before service, not after it becomes a write-off. 
• Look past 2027. Understand why 2027 is the warning shot for larger provider tax and State Directed Payment pressure, and what that means for multi-year margin forecasting and service-line planning. 

Who Should Attend

CFOs and healthcare finance leaders, revenue cycle executives, patient access and financial clearance leaders, patient financial services leaders, and others responsible for Medicaid strategy, uncompensated care and protecting financial performance. 

Save Your Seat

Get ahead of the 2027 Medicaid coverage shifts and understand what they could mean for your margins. Register now for December 15 at 1:00 p.m. ET.