How American Exchange Helps You Reconnect Disenrolled Patients and Protect 340B Revenue
Medicaid disenrollments are accelerating. Are you ready?
On August 9, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a nationwide campaign to remove ineligible enrollees from Medicaid rolls, aiming to uphold federal citizenship requirements and eligibility standards. According to CMS Administrator Chiquita Brooks-LaSure, the effort seeks to protect program integrity and ensure benefits are reserved for those who qualify. However, the implications for healthcare providers—and vulnerable patients—are significant.
Source: CMS Press Release, “CMS Launches Nationwide Push to Remove Ineligible Medicaid Enrollees, Uphold Citizenship Requirements”
https://www.cms.gov/newsroom/press-releases/cms-launches-nationwide-push-remove-ineligible-medicaid-enrollees-uphold-citizenship-requirements
The Challenge: Gaps in Coverage, Disconnected Patients
Since the end of the COVID-19 public health emergency, Medicaid redeterminations have resumed, and millions of Americans are at risk of losing coverage—many due to procedural issues rather than actual ineligibility.
Patients affected by redetermination often:
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Miss critical communications about coverage loss
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Lack the support needed to navigate ACA enrollment
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Delay or forgo essential medical care
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Become disconnected from their regular providers
For healthcare providers—especially covered entities relying on 340B savings—this mass disenrollment wave can jeopardize patient outcomes and financial sustainability.
The Opportunity: Reconnect Patients, Restore Revenue
American Exchange is here to help.
Our turnkey solution bridges the gap by enrolling eligible patients into ACA plans quickly and compliantly. Through our Premium Insurance Assistance Programs (PIAP), we:
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Identify Medicaid-disenrolled or prevention-focused patients
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Enroll them in qualified marketplace plans
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Administer monthly premiums
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Ensure continuous insurance coverage
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Provide real-time reporting via our IBMS platform
This not only restores access for patients—it allows your organization to continue generating savings from brand-name prescriptions through the 340B program.
Why This Matters for 340B Covered Entities
If patients lose Medicaid coverage and aren’t reconnected to insurance quickly, your organization may lose more than care continuity. You risk:
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Losing access to 340B savings
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Disruption in outreach and prevention services
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Greater financial strain during grant gaps
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Reduced capacity to support uninsured populations
American Exchange ensures your patients stay covered and your mission stays funded.
Why American Exchange
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Expert ACA Enrollment Support: We handle everything from eligibility checks to document submissions.
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Premium Payment Administration: No more chasing payments—our team manages it all.
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HIPAA-Compliant Technology: Our IBMS platform offers transparency, compliance, and real-time oversight.
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Trusted Nationwide: From Ryan White clinics to rural health centers, we partner with organizations focused on community care.
Prepare for the Impact of Medicaid Redetermination
Medicaid redetermination and disenrollment are here to stay—and their effects are rippling through healthcare systems across the country.
Don’t let your patients fall through the cracks.
Don’t let your 340B revenue disappear.
Let’s talk strategy.
Visit our site to schedule a demo today
