23% of disenrolled Medicaid beneficiaries remain uninsured, KFF finds
- Nearly one in four people who were disenrolled from Medicaid remain uninsured, citing costs as barriers to coverage, according to a KFF poll. Since states resumed conducting Medicaid eligibility determinations in April 2023, more than 20 million beneficiaries have been disenrolled. KFF surveyed 1,227 adults who had Medicaid coverage prior to April...
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PHE unwinding work may aid Medicaid, CHIP final rule compliance
The eligibility and enrollment processes for Medicaid and the Children’s Health Insurance Program (CHIP) have been riddled with inefficiencies. Policies like annual coverage limits and waiting periods have created barriers for...Expanding Medicaid eligibility in GA would reduce uninsurance by 28%
Expanding Medicaid eligibility in Georgia would help reduce uninsurance among non-elderly individuals by almost 300,000 people, according to a report from the Urban Institute and the Robert Wood...HHS extends special enrollment period for former Medicaid beneficiaries
HHS has extended the temporary special enrollment period to facilitate marketplace enrollment for beneficiaries who lost Medicaid or Children’s Health Insurance Program (CHIP) coverage following...CMS final rule aims to simplify Medicaid, CHIP enrollment, coverage
A new CMS final rule, the “Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal...Medicaid disenrollments surpass 18M, exceeding HHS projections
More than 18 million beneficiaries have been disenrolled from Medicaid since the public health emergency ended and states resumed coverage determinations, according to data from...Medicaid Health Plan Will Reimburse Health Equity Certification
Meridian Health Plan of Illinois, Inc.—a wholly-owned subsidiary of Centene Corporation that offers Medicaid coverage—announced that it will cover part of the fee hospitals must pay to...Continuous Medicaid eligibility during PHE improved postpartum coverage
The continuous Medicaid eligibility requirement during the COVID-19 public health emergency was associated with increased postpartum Medicaid enrollment and reduced uninsurance, according to a study...Few Physicians Participate in Both Medicaid and Marketplace Plans
Less than three in ten primary care physicians participating in Medicaid also participated in an average marketplace network, raising concerns about continuity of care for beneficiaries disenrolled...HHS Will Provide Technical Assistance to States Addressing Homelessness
The Department of Health and Human Services (HHS) and the Department of Housing and Urban Development (HUD) are increasing access to federal programs and resources that address homelessness in eight...How Do Payers Cover COVID-19 Vaccines, Treatments, and Tests Post-PHE?
After the public health emergency (PHE) ended, many federal regulations that facilitated access to COVID-19 vaccines, treatments, and tests expired. While some policies may still apply, coverage...States Leverage Waivers To Support Medicaid Redetermination
States flocked toward ex parte renewals and contact information update waivers to support Medicaid redetermination processes after the coronavirus public health emergency ended, a KFF brief found. For...NY Medicaid Section 1115 Waiver Amendment Improves Access to Care
CMS has approved an amendment to New York State’s Medicaid section 1115 waiver that will address health disparities and improve access to primary and behavioral healthcare, Governor Kathy Hochul...Does Integrating Medicare and Medicaid Improve Care for Dual Eligibles?
Integrating Medicare and Medicaid coverage for dual eligible beneficiaries was associated with higher use of home- and community-based services (HCBS) but did not reduce hospitalization or improve care...HHS Urges States to Reduce Medicaid, CHIP Child Disenrollments
The Department of Health and Human Services (HHS) is urging states to employ federal strategies to help reduce child disenrollments from Medicaid and the Children’s Health Insurance Program...Sponsored Article
Leveraging Social Determinants for Medicare, Medicaid Engagement
Medicare and Medicaid populations encounter significant obstacles to care because of social determinants of health, such as economic instability, lack of transportation, isolation, and food...What Health Plans Are Available For People With Disabilities?
Public and private payers alike offer a multitude of benefits for people living with disabilities. According to the CDC, up to 27 percent of adults in the United States have some type of disability, including mobility, cognition,...Sponsored Article
How to Tailor Member Engagement for Medicare, Medicaid Populations
Healthcare spending in the US is on a fast track. Federal actuaries expect total expenditures to reach $7.2 trillion by 2031, with Medicare and Medicaid spending projected to increase rapidly. For...How Do Payers Cover Prenatal, Postpartum Care for Pregnant People?
Prenatal, perinatal, and postpartum care help ensure healthier pregnancies and better birth outcomes for pregnant people. Access to this essential care comes easier with adequate health insurance. Pregnant people are almost guaranteed...Sponsored Article
