Hospitals Focus on Access and Stability Amid Medicaid Changes

June 16, 2026

Changes to Medicaid coverage and eligibility are prompting hospitals to think creatively about how to ensure safe, reliable access to care for Pennsylvanians.

At HAP’s recent Leadership Summit, moderator Jolene Calla, Esq., vice president of finance and legal affairs at HAP, asked a panel of hospital leaders to describe the impact of Medicaid disruption on patient access and hospital operations. Here are some key takeaways.

‘Community Engagement is Critical’

Previously, hospitals’ focus was on expanding care in the community. Now, they are working to maintain it, said Gene Gofman, MBA, FACHE, chief financial officer at Penn Presbyterian Medical Center.

Penn Presbyterian serves a vulnerable population that will be significantly affected by these changes, Gofman said. Patients will need guidance as they navigate additional paperwork and potential changes in coverage requirements.

From a financial perspective, the hospital expects to see some patients opt out of coverage or shift plans following the loss of Pennie subsidies, he said.

Much of the hospital’s work will center on education and communication. Hospitals must “share the impact to help them understand why it’s going to affect them,” Gofman said. “Community engagement is critical.”

Maintaining up-to-date medical records will also be part of the strategy, as it will help staff notify patients about eligibility changes.

‘Doesn’t Reduce the Demand’

Edward Bleacher II, MBA, CHFP, CRCR, FHFMA, chief financial officer at St. Christopher’s Hospital for Children, said he is concerned that Medicaid changes could disrupt programming.

“A reduction in funding doesn’t reduce the demand for services,” Bleacher said.

He said the hospital’s strategy includes building strong connections with vulnerable patients and engaging them about their needs during visits. St. Christopher’s will also work to identify coverage gaps early, implement artificial intelligence tools, coordinate with managed care organizations, and consider new partnerships.

Collaboration is essential

Anticipation will be critical in navigating the changing Medicaid landscape, said Laurie MacDonald, CHFP, chief financial officer at Warren General Hospital.

MacDonald said Warren General expects more patients to seek emergency care instead of preventive services as Medicaid coverage shifts. To address this, the hospital will work with counselors when possible to identify patients in need of ongoing care.

From a financial standpoint, she said the hospital anticipates increased bad debt exposure, potentially putting pressure on hospital services.

One potential response is closer collaboration with the community to help patients complete eligibility paperwork and access financial counseling when needed.

See more key takeaways from Day 1 and Day 2 of HAP’s Leadership Summit.