Our Sr. Director of Commercial Strategy, Joanna Jamar, sits down with Nikita Singareddy, Co-Founder CEO of Fortuna Health, to discuss the Medicaid and ACA reforms and their implications for healthcare providers’ business and operations. Nikita breaks down the key changes—including more frequent redeterminations, work requirements, and reduced retroactive coverage—which is projected to drive $434.4 billion in additional uncompensated care costs over the next decade. She shares actionable strategies for providers to prepare for these shifts, from restructuring revenue cycle processes to investing in technology that can mitigate the impact of a potential coverage crisis.

This conversation covers Medicaid and ACA policy changes in the House-passed budget reconciliation bill as of May 2025

Watch the full episode

Conversation highlights

Medicaid & ACA reforms in 60 seconds

Nikita highlights the the most significant changes to Medicaid and what providers should be paying closest attention to.

What providers can do today

With tighter Medicaid eligibility and expiring ACA subsidies on the horizon, Nikita outlines the proactive steps providers can take now.

Building the right infrastructure

Nikita explains which technology and operational changes will become critical when the Medicaid and ACA reforms take effect.

Want to dig deeper?

Read our executive brief on navigating potential Medicaid and ACA changes, with technology-driven strategies and ways to assess your organization’s readiness.

Ben Kraus is Director, Content Marketing at Cedar