Billing & Coding recently featured Matthew Fisher, Vice President of Operations at Curae, in the article After Open Enrollment, The Real Coverage Disruption Begins. The article makes clear that open enrollment no longer marks the end of coverage instability. Instead, revenue cycle teams are now facing a steady stream of qualifying life events, Medicaid disenrollments, and affordability shocks that can quickly convert insured patients into self-pay accounts.
The piece points to the scale of the challenge. More than 23 million plan selections were reported for 2026 Marketplace Open Enrollment, yet more than 25 million patients have been disenrolled since the start of Medicaid unwinding. At the same time, the 2026 HDHP out-of-pocket maximum is set at $17,000 for family coverage, increasing the risk that even active coverage becomes financially unsustainable for many patients.
This is where Curae delivers value. Through insurance discovery, enrollment and sponsorship support, and non-recourse 0% patient financing, Curae helps health systems protect revenue, reduce preventable write-offs, improve the patient financial experience, and keep more encounters reimbursable.
Read the full article here to see why post-enrollment volatility is now a front-end revenue cycle issue, and why health systems need a stronger financial access strategy to stay ahead of it.