Published May 29, 2026

Washington, DC – Every month, DC residents 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 the District of Columbia, bringing its Medicaid coverage management platform to community health centers across all eight wards. Pointcare is the coverage management platform that continuously monitors Medicaid eligibility, automates redetermination tracking, and reaches patients before coverage lapses — currently protecting coverage for over 1.9 million patients across 90+ community health centers nationwide.

In DC, the stakes are unusually high. One in three District residents gets health coverage through Medicaid — one of the highest coverage rates in the country. And every one of them must renew that coverage every year. In 2026, the District tightened income eligibility for adults and restricted new enrollment in the DC Healthcare Alliance — which means more residents moving between programs, more redeterminations, and more chances for an eligible patient to slip through.

DC's community health centers will feel it first. The District's health centers deliver care at more than 60 sites, serving roughly 200,000 people a year — about one in three DC residents. For the neighborhoods east of the river and communities across the city, the health center is often the front door to care. When coverage lapses, care lapses with it.

The pattern is familiar to every health center CEO in the District. 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 renewal went untracked.

Pointcare's platform stops that cycle. It continuously monitors eligibility, automates Medicaid redetermination 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.


"When a third of your city runs on Medicaid, coverage management isn't a back-office task — it's public health infrastructure. DC's health centers are managing annual renewals, tighter eligibility, and program transitions all at once. They need 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.

Washington, DC is Pointcare's newest market, following recent launches in New York, Pennsylvania, Louisiana, and Iowa. 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 the District.


Frequently Asked Questions

What does Pointcare do for Washington, DC community health centers?

Pointcare is a Medicaid coverage management platform that gives DC community health centers real-time visibility into patient coverage status, automates Medicaid renewal and redetermination tracking, and reaches patients through multi-channel outreach before coverage lapses — protecting both patient care continuity and health center revenue.

Why does Medicaid coverage management matter in DC right now?

One in three DC residents receives coverage through Medicaid, and every enrollee must renew annually. In 2026, the District reduced income eligibility for adults and restricted new DC Healthcare Alliance enrollment, increasing churn between programs — and increasing the risk that eligible patients lose coverage for procedural reasons.

Does Pointcare support DC's annual Medicaid renewal process?

Yes. Pointcare flags each patient's upcoming renewal, tracks redetermination status in real time, and contacts patients by text, email, and phone before deadlines pass — so enrollment teams can intervene before an eligible patient is disenrolled, instead of re-enrolling them after a gap in care.

Which health centers in DC can use Pointcare?

Pointcare is available to community health centers and FQHCs across all eight wards of the District. The platform currently manages coverage for over 1.9 million patients across 90+ community health centers nationwide.

How can a DC health center get started with Pointcare?

Health centers can request a conversation at pointcare.com/start. Implementation is built for CHC workflows and integrates with the systems enrollment teams already use.

Founded in 2012, Pointcare is the leading coverage management platform, managing coverage for over 2 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.