Shaping the Future of Health Equity & Patient Advocacy

At Patient Funding Alternatives we support the medically underserved Medicaid population through the delivery of health equity-based funding alternatives for the benefit of all stakeholders including patients, health systems, states and employers.

pediatric physician with stethoscope checking smiling babies heartbeat

As the gold standard in the country for offering
Premium Assistance Enrollment, we’re committed to a streamlined low-burden process

We’re here from the initial episode of care to assist with the enrollment process and subsequent support services.
We’re responsible for most administrative responsibilities and require minimal patient and hospital involvement.

Providing Comprehensive Services for Patients and Hospitals

Patient Funding Alternatives is the only organization in the country offering Premium Assistance Enrollment and dedicated Patient Helpers  (front-line advocates for patients) services to hospital partners.

Patient Helpers

Patient Funding Alternatives’ “Patient Helpers” act as a front-line advocate for patients, and provide additional support to Financial Counselors, Hospital Social Workers, and Case Management teams.

Premium Assistance Enrollment

Working on behalf of the hospital we enroll premium assistance eligible Medicaid patients into employer-sponsored commercial insurance plans through their state’s premium assistance program.

An image of a Hispanic woman smile while wearing white nursing scrubs

People We Impact

These patient stories highlight how we’ve helped people navigate the often overwhelming costs of medical care.

Our Process

From engaging with patients to utilizing our proprietary technology and algorithms, we navigate the enrollment journey for each patient, securing commercial healthcare coverage through their respective employers. Once coverage is established, we assist our hospital partners in ensuring they receive maximum reimbursement.

Measurable Performance

Patient Funding Alternatives’s “Patient Helpers” act as a front-line advocate for patients, and provide additional support to financial counselors, hospital social workers, and case management teams.

Approximately 


15%

of Medicaid members have access to Employer Sponsored Insurance (ESI).*

* Source: Kaiser Family Foundation Report

Over

70%

of patients remained loyal to their original provider for subsequent visits*

*actual results may be higher due to the inability to track patients with no subsequent visits.

45%

of the time, Patient Funding Alternatives  secure’s commercial healthcare coverage for  patients interested in pursuing ESI.

On average our hospital partners experience a

3x

lift in reimbursement
once commercial coverage is secured.

Trusted by Top Health Systems Nationwide

Patient Funding Alternatives has a growing number of partnerships with leading health systems across a diverse cross section of the United States. Currently, 39 States in the US offer Premium Assistance to Medicaid patients through HIPP. These states are shown in dark purple.

See What Our Partners Are Saying

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