The QLE clock
Losing Medicaid is a Qualifying Life Event. The clock starts the day coverage ends.
Every patient who loses Medicaid opens a short window to regain coverage. Miss it and they fall to self-pay. The question for your health system is simple: what is your risk to mitigate?
1
Coverage ends
A patient fails the 80-hour work or activity test and loses Medicaid. That loss is a Qualifying Life Event (QLE).
2
The QLE clock starts
The QLE opens a limited Special Enrollment window to move to an ACA plan — a countdown that runs per patient, not per system.
3
But patients need funds
ACA coverage requires premiums. Without help, eligible patients stay uninsured — and their care becomes your uncompensated care.
4
Mitigate the risk
Curae finds these patients, enrolls them in coverage, sponsors the premium, and finances the balance — before the clock runs out.