Curae — Medicaid Work Requirements 2027

Millions will lose Medicaid in 2027. Your revenue doesn’t have to.

Federal work requirements take effect January 2027. We help your health system turn a coverage cliff into restored coverage, recovered revenue, and care that patients can actually afford.

Work requirements take effect
000Days
:
00Hrs
:
00Min
:
00Sec
5.3Mpatients at risk of losing Medicaid*
0% interestnon-recourse patient financing
The risk

The largest Medicaid coverage loss in a generation is already on the calendar.

When coverage disappears, the bill doesn’t. Unfunded care lands on your balance sheet as uncompensated care and bad debt — unless you act before the window closes.

Jan 2027
Federal work requirements take effect nationwide
0.0M
Adults projected to lose Medicaid coverage*
0 hrs/mo
Work or activity each enrollee must document — re-verified every 6 months
$0B
Projected 10-year reduction in federal Medicaid funding*

*Congressional Budget Office and Commonwealth Fund estimates, 2025. Figures vary by analysis and state implementation.

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.

Our solution

Two engines that protect coverage — and your revenue.

We work alongside your team and your existing RCM and EHR ecosystem — on a risk-free, contingency model with no upfront fees.

CURAEAdvocate

Regain coverage

We identify patients losing Medicaid, enroll them in ACA or other coverage inside their QLE window, and sponsor the premium — with no repayment from the patient. Charity and bad debt convert into insured, billable revenue.

  • Government eligibility & ACA / COBRA enrollment
  • Curae funds premiums — no repayment by the patient
  • Converts uncompensated care into reimbursed claims

CURAEPay

Afford care now

For patients who still owe a balance, a 0% interest, non-recourse line of credit up to $10,000. They get the care they need; you get paid — with balances liquidated within 48 hours.

  • 0% interest, non-recourse — never sold to collections
  • 90%+ approval, no credit-hit to apply
  • Balances funded to you within 48 hours
Outcomes

What it means for your bottom line.

$20M–$80M+
New cash generation (Year 1)*
0%
Reduction in bad debt
2x–3x
Patient collection improvement
+0
NPS point improvement
  • Risk-free contingency model — no upfront fees
  • Less than 30-day implementation*
  • Works with your RCM & EHR — Epic / MyChart integration
  • Non-recourse: financial risk stays with Curae, not your patients

*Illustrative ranges based on Curae engagements. Results may vary by health system, payer mix, and volume.

Take the next step

Let’s map your Medicaid exposure in 20 minutes.

Share your self-pay and at-risk Medicaid volumes. We’ll size the revenue at stake and show exactly how CURAEAdvocate and CURAEPay protect coverage before the 2027 clock starts.

Gary Johnson
Chief Growth Officer, Curae
[email protected]