How Nest Health Helps Families and Medicaid Plans Navigate H.R.1 and Redetermination Challenges
As Medicaid policies shift under H.R.1, families and Medicaid health plans are facing growing uncertainty. Nest Health is helping both groups move forward with clarity, starting at home.
The passage of H.R.1 has introduced new administrative hurdles for families enrolled in Medicaid. These include more frequent redeterminations, new work requirements, and stricter eligibility verification. Many families are now at greater risk of losing coverage, not because they are no longer eligible, but because the process has become harder to navigate.
These changes carry real consequences. Families may miss critical care. Medicaid managed care organizations (MCOs) may see higher churn, more missed quality targets, and increased costs. Nest Health offers a model designed to meet these challenges head-on.
Nest Health is designed for Medicaid’s realities
Nest Health provides in-home, whole-family care for Medicaid members. Our model brings trusted providers directly to families. This is where coverage decisions are made, paperwork arrives, and support is most needed.
We help:
Complete eligibility paperwork and avoid administrative disenrollment
Navigate work requirements and changing state rules
Ensure continuity of care even when coverage is at risk
Address maternal, pediatric, and behavioral health needs through coordinated visits
Nest does more than provide care. We help families remain enrolled, supported, and connected.
Supporting Medicaid plans through H.R.1 complexity
For Medicaid managed care organizations, the policy changes under H.R.1 bring both operational and financial risk. Nest Health helps plans succeed in this environment by:
Reducing churn through personalized, in-home member support
Closing quality gaps more efficiently with whole-family care
Lowering the total cost of care through prevention and early intervention
Improving outcomes for protected groups, including children, postpartum women, and individuals with substance use disorders
Nest delivers a two-to-one return on investment for our partners. We achieve this while strengthening member retention and improving both satisfaction and outcomes.
Staying focused on what matters most
H.R.1 may create new complexity, but one fact remains clear. Medicaid continues to serve as a vital safety net for children and families across the country. Nest Health is helping families maintain their coverage and access care without disruption.
We were built for this moment. And we’re ready to help Medicaid plans and families navigate what comes next.