David Byrom

Hi David, You know this better than I do. Come January 2027, back-pay for Medicaid only reaches 60 days, putting more pressure on residents and their families to dig through five years of financial history to prove eligibility. And if they struggle to get it done in time, that quickly becomes a problem for the nursing home. I'm a founder deciding whether to build something for the family-paperwork half of that, so I'm talking to Texas operators before building anything. Nothing to sell. I'm trying to understand how Coryell County Memorial Hospital Authority handles eligibility across your nine buildings today. In house, an outside firm, or does it land on the families? And honestly, whether this is even a top ten problem for you. I'm guessing this lands somewhere near your desk. If not, a pointer to whoever owns it helps. Otherwise, open to 20 minutes this week? Either way I'll send you what other operators pay per case and who they use. Anonymized, and only what each one agrees to share. -Stephen

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