Medicaid
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Unwinding the PHE: What We Can Learn From Pre-Pandemic Enrollment Patterns
This brief examines typical enrollment patterns for Medicaid and CHIP and uses 2018 Medicaid claims data to gain insight into the effects of the continuous enrollment requirements by eligibility group. Roughly 2% of Medicaid enrollees come on or leave the program in an average month, although there is variation across eligibility groups. A policy to require continuous enrollment would result in sharp reductions in monthly disenrollment rates and would also reduce monthly enrollment rates due to reductions in churn.
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Community Health Centers Are Taking Actions to Prepare for the Unwinding of the Public Health Emergency
Community health centers, a national network of safety-net primary care providers, are poised to be on the front lines of the unwinding of the Medicaid continuous enrollment requirement when the public health emergency (PHE) ends. Health centers can be effective in raising awareness about Medicaid renewal requirements and in providing the help needed for enrollees to maintain Medicaid or transition to other coverage.
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Medicaid Managed Care Plans Can Help Enrollees Maintain Coverage as the Public Health Emergency Unwinds
Throughout the pandemic, states have worked with managed care plans to respond to changing public health conditions and new developments. After the PHE ends, state Medicaid agencies will need to complete a large number of eligibility and enrollment tasks and actions, including processing renewals, redeterminations (based on changes in circumstance), and post-enrollment verifications. Medicaid managed care plans can assist state Medicaid agencies in communicating with enrollees, conducting outreach and assistance, and ultimately, in improving coverage retention (including facilitating transitions to the Marketplace where appropriate).
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Millions Could Lose Medicaid Coverage After the End of the Public Health Emergency and Continuous Enrollment Requirement
This analysis projects enrollment growth through the end of FY 2022. It examines how much of the enrollment growth can be attributed to baseline, or expected enrollment increases without the pandemic, and how much to the MOE continuous enrollment requirement during the PHE. We explore the costs tied to MOE enrollment growth, estimate how much fiscal relief was provided to states through the enhanced FMAP, and describe scenarios for enrollment going forward.
Fate of Medicaid Expansion May Once Again Depend on the Outcome of State Elections
This post examines the potential for this year’s midterm elections to decide the fate of Medicaid expansion, with gubernatorial races in 10 of the 12 states that have not expanded, including Georgia, Kansas and Wisconsin, where the gubernatorial race is considered a toss-up. South Dakota voters also will decide a Medicaid expansion ballot initiative.
As 2022 Legislative Sessions End, Most States Are Adopting New Option to Extend Medicaid Postpartum Coverage
Two-thirds of states (33 + DC) have extended or plan to extend Medicaid postpartum coverage to 12 months. We review recent action as the rollback of abortion rights has refocused attention on the importance of coverage for pregnancy and postpartum care..Demographics and Health Insurance Coverage of Nonelderly Adults With Mental Illness and Substance Use Disorders in 2020
The pandemic has exacerbated mental illness and substance use disorders and may have increased access problems. We examine key characteristics and coverage and health status of nonelderly adults with mental illness or substance use disorders in 2020.After Roe: Options to Address Medicaid Coverage Policy Related to Maternal and Child Health
Many of the very states that have banned abortion following the Supreme Court’s overturning of Roe v. Wade have not taken advantage of current federal options to strengthen health coverage for their state residents, most notably for women who give birth and children.Medicaid and Racial Health Equity
The COVID-19 pandemic has highlighted and exacerbated longstanding racial and ethnic disparities in health and health care. Our analysis provides insight into the role Medicaid can play in advancing racial health equity by answering three key questions:
– How does health coverage vary by race and ethnicity?
– How can Medicaid help to reduce racial health disparities?
– What are key issues to watch looking ahead?
Medicaid Public Health Emergency Unwinding Policies Affecting Seniors & People with Disabilities: Findings from a 50-State Survey
While non-MAGI enrollment rose during COVID-19, most states anticipate coverage losses at the end of the PHE – most likely due to income changes or the inability of Medicaid workers to reach enrollees. Staffing shortages and enrollee confusion were the most frequently cited issues.
Related: Medicaid Financial Eligibility in Pathways Based on Old Age or Disability in 2022
Nursing Facility Staff Vaccinations, Boosters, and Shortages After Vaccination Deadlines Passed
Data suggest that the federal vaccine mandate for health care workers has not exacerbated nursing home staff shortages. Twenty-eight percent of nursing homes reported staffing shortages as of March 2022, down from nearly 1 in 3 in January 2022.
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Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State
Bookmark our Medicaid waiver tracker page for the latest information on pending and approved Section 1115 Medicaid waivers. Tracking Social Determinants of Health During the COVID-19 Pandemic
The COVID-19 pandemic exacerbated existing health disparities for a broad range of populations, but specifically for people of color. We examine how adults are faring on a range of social determinants of health.Who Could Get Covered Under Medicaid Expansion? State Fact Sheets
Twelve states have not adopted the ACA Medicaid expansion. Who would become eligible for Medicaid if these states chose to expand?Medicaid Spending and Enrollment: Updated for FY 2022 and Looking Ahead to FY 2023
In our mini-survey update, state Medicaid agencies project the state share of Medicaid spending will increase sharply by 14% in FY 2023, following the expected end of the Public Health Emergency and the loss of pandemic-related enhanced federal funding.
10 Things to Know About Medicaid Managed Care
Sixty-nine percent of Medicaid beneficiaries are enrolled in comprehensive managed care plans nationally. We describe 10 themes related to the use of comprehensive, risk-based managed care in the Medicaid program and highlight significant data and trends.
