Cedar Introduces Cedar Cover to Address Medicaid and Affordability Challenges for Hospitals

Cedar, a pioneering healthcare financial platform, announced the launch of Cedar Cover at the HLTH 2025 conference, aimed at addressing the impending Medicaid coverage crisis impacting millions of Americans. With recent changes introduced by the One Big Beautiful Bill Act, over 10 million individuals may lose their Medicaid coverage, which could result in hospital uncompensated care costs soaring by $63 billion over the next ten years. Cedar Cover is designed to serve as a comprehensive digital solution that seamlessly assists patients in securing and maintaining coverage while safeguarding provider revenue from mounting administrative burdens and financial losses.

The primary features of Cedar Cover revolve around four key capabilities ensuring that patients benefit from comprehensive support: Medicaid Enrollment, Proactive Medicaid Renewal Workflows, Denials Resolution, and Medication Assistance. Each of these components is integral in enhancing patient access to coverage, ensuring they remain informed about their eligibility, and guiding them through potential hurdles related to claims denial.

Through using Cedar Cover, hospitals can streamline their operations, adapt swiftly to any legislative updates, and achieve a quicker return on investment compared to traditional processes. This innovative solution is already trusted by numerous leading health systems across the U.S., such as Novant Health and Baystate Health, demonstrating significant results in enhancing patient affordability. For instance, reports indicate a 30% increase in insurance reimbursement from overturned denials, showcasing its impact on revenue recovery for hospitals.

The issue of healthcare affordability has become critical as many Americans are drowning in medical debt due to rising deductibles. The recent policy changes are set to complicate matters further, pushing countless individuals into the ranks of the uninsured. The demographic affected includes teachers, service workers, and small business owners who are caught in a financial bind, earning too much for traditional assistance programs while being unable to manage the cost of unexpected medical care. Additionally, almost 17% of eligible patients could miss out on Medicaid due to various procedural challenges, creating coverage gaps that lead to increased financial burdens on families.

Cedar Cover strives to mitigate these obstacles by embedding essential financial support directly into the hospital's billing processes. Its functionalities include:
1. Medicaid Enrollment: The platform proactively identifies eligible patients and simplifies the enrollment process, thus minimizing the procedural barriers that could lead to unnecessary coverage loss.
2. Proactive Renewal Workflows: It engages patients prior to crucial deadlines and helps them complete necessary actions for maintaining their coverage.
3. Denials Resolution: Patients receive expert guidance online to navigate the resolutions for their denied claims, expediting the overall claim resolution process.
4. Medication Assistance: It connects patients with billions in unclaimed medication co-pay assistance directly through their billing experience, ensuring they receive the medication they need without overwhelming costs.

The initial rollout of Cedar Cover has revealed impressive outcomes, including a 97% approval rate for Medicaid applications and average grants exceeding $12,000 for medication assistance per approved application. As Florian Otto, Cedar's CEO, explains, "Every missed enrollment or overlooked aid program is a patient who may delay or forgo care…and a provider left with dollars they'll likely never collect." He emphasizes that Cedar Cover rebalances the relationship between patient affordability and provider revenue, extending vital resources during critical moments and fostering a system where patients can obtain necessary care without compromising their financial stability.

As it makes its debut at HLTH 2025, Cedar intends to prioritize discussions around the future of healthcare affordability and accessibility, starting with Cedar Cover. According to Cedar President Seth Cohen, this solution encapsulates the mission of making healthcare more affordable and accessible for everyone, ensuring that care is not hindered by financial strain. For those in the healthcare landscape, Cedar Cover offers a transformative pathway to navigate a complex array of coverage options while enhancing patient financial journeys in our increasingly intricate healthcare system. To learn more about Cedar Cover and its efficiency in reducing uncompensated care, visit Cedar’s official website.

Topics Health)

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