Host: Jill Steeley

Guest: Howard Archer

EPISODE OVERVIEW

HR1 isn't a someday threat - it's in implementation now, and it's about to make Medicaid billing harder than most health centers are ready for. In this episode Jill sits down again with Howard Archer, CEO of Fix Healthcare Technology and the creator of RetroCAID, to name the real problem: HR1 won't mainly make your patients ineligible, it'll make them lose coverage over paperwork - twice as often as before. Jill and Howard walk through the exact timeline coming at you (six-month redeterminations for expansion adults, 80-hour work requirements, narrowing immigrant eligibility, and a retroactive coverage window that shrinks January 1), why the churn ahead makes the PHE unwinding look like a warm-up, and the reframe every leader needs right now: your enrollment team is now your retention team. Then comes the part most centers miss - the revenue you already earned but wrote off as self-pay, still sitting recoverable in your system because Medicaid is a moving target, not a static payer. If you're a health center leader watching the coverage cliff approach and doing the mental math on what you'll have to cut, this one's for you - because there's a way through that doesn't start with cutting.