The recent passage of the One Big Beautiful Bill (H.R. 1) will bring some of the most significant Medicaid eligibility changes we’ve seen in years. Beginning in 2026, providers can expect more frequent eligibility redeterminations, new work requirements for certain Medicaid populations, and increased complexity around coverage verification. These changes have the potential to create more uninsured patients, increase uncompensated care, and drive up eligibility-related denials.
For healthcare organizations, the takeaway is simple: knowing a patient’s coverage status before services are delivered will be more important than ever.
That’s where Advanced Eligibility Verification Services (EVS) can make a real difference. Our solution helps organizations verify coverage quickly and accurately, monitor eligibility changes, and identify issues before claims are submitted. Instead of reacting to denials after the fact, providers can proactively address eligibility concerns upfront, reducing risk and protecting revenue.
At ZMark Health, we’re actively tracking these Medicaid changes and helping organizations understand what they mean from both an operational and financial perspective. Whether you’re evaluating your current eligibility workflows or looking for ways to strengthen your revenue cycle, our team is here to help.
Watch Matt Zabolotny’s short video for key insights on the upcoming Medicaid changes and learn how EVS can help your organization prepare for what’s ahead.
Watch the discussion to learn more about our approach, or
Download the flyers for additional details:
- Medicaid Changes Overview – Key changes coming in 2026 and what they mean for providers.
- Advanced Eligibility Verification Services (EVS) – How ZMark Health helps strengthen eligibility verification, protect revenue, and support regulatory readiness.