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Announcement

Pointcare Brings Its Medicaid Coverage Management Platform to Pennsylvania

The leading platform for coverage gap prevention and Medicaid enrollment automation expands into the Commonwealth

Published May 1, 2026

Pennsylvania – Every month, patients lose Medicaid coverage not because they’re no longer eligible — but because no one caught the lapse in time. That’s the problem we built Pointcare to solve.

Today, Pointcare officially launches in Pennsylvania, bringing its Medicaid coverage management platform to community health centers across the Commonwealth. Pennsylvania’s CHCs serve some of the state’s most vulnerable populations — and coverage churn is one of the biggest threats to their ability to do that work.

The pattern is familiar to every health center CEO in the state. Uninsured rates creep up. Medicaid enrollment slips. Financial counselors spend their days on manual follow-up instead of patient support. And somewhere upstream, a family misses an appointment because a Medicaid redetermination went untracked.

Pointcare’s platform stops that cycle. It continuously monitors eligibility, automates Medicaid redeterminations tracking, and reaches patients through multi-channel outreach before coverage lapses — not after. The result: fewer gaps, less churn, and a revenue cycle that works the way it should.

“Pennsylvania’s community health centers are doing extraordinary work under real financial pressure. What they need is a coverage management infrastructure that moves as fast as eligibility changes do. That’s exactly what we built.”
EVERETT LEBHERZ
Co-Founder & CEO, Pointcare

 

For community health centers, coverage gaps aren’t just a patient problem — they’re a revenue problem. Every uninsured visit is a financial hit. Every lapsed Medicaid patient represents revenue that could have been protected. Pointcare’s approach to community health center revenue cycle starts upstream: keep patients covered, and the downstream numbers take care of themselves.
The platform’s core capabilities — real-time eligibility monitoring, Medicaid enrollment automation, authorized representative support, and a patient-facing coverage app — are purpose-built for the complexity CHCs face. Not generic health tech. Built for this.

Pennsylvania is Pointcare’s newest market. It won’t be the last. And for the health centers here already doing the work, we’re ready to help them do it with fewer gaps, less churn, and more patients covered.

More covered patients. More continuity of care. More revenue protected. That’s what coverage gap prevention looks like in practice.

About Pointcare

Founded in 2012, Pointcare is the leading coverage management platform, managing coverage for over 1.9 million patients across 90+ community health centers. Pointcare is dedicated to ensuring seamless access to healthcare for millions of Medicaid, Medicare, and Marketplace plan members and the health centers that serve them. Founded with a mission to eliminate coverage gaps, Pointcare provides real-time visibility into coverage status, automates renewals, and simplifies the complexities of Medicaid and other healthcare programs.