Enrollment - Research and Data from KFF

Although Their Share of the Market Varies By State, Enrollment in Medicare Advantage Plans Has More Than Doubled Over the Past Decade, with More than 4 in 10 Medicare Beneficiaries Now Enrolled in the Private Plans

Jun 21, 2021

News Release

The private plans known as Medicare Advantage now cover more than 4 in 10 Medicare beneficiaries, reflecting a more than doubling of enrollment over the past decade even as the plans remain a far larger presence in some states than others, according to a new KFF analysis. More than 26 million of the nation’s nearly 63 million Medicare beneficiaries are enrolled in Medicare Advantage plans in 2021. The share varies considerably by state, ranging from…

Medicaid Expansion Enrollment and Spending Leading up to the COVID-19 Pandemic

Jan 12, 2021

Issue Brief

This issue brief analyzes enrollment and spending trends related to the Affordable Care Act’s Medicaid expansion ahead of the coronavirus pandemic and examines potential consequences of recent enrollment increases.

Opportunities and Resources to Expand Enrollment During the Pandemic and Beyond

Jan 25, 2021

Issue Brief

This analysis summarizes recent interviews with marketplace navigators and other consumer assistance professionals, who offered observations about the 2021 Open Enrollment period, discussed general and pandemic-specific challenges facing consumers seeking coverage, and offered suggestions to improve enrollment outcomes. The brief also reviews information about federal marketplace resources and spending priorities contained in Trump Administration budget documents, and possible sources of funding for a COVID-19 special enrollment period during the Biden administration.

Unwinding of the PHE: Maintaining Medicaid for People with Limited English Proficiency

Mar 3, 2022

Issue Brief

Provisions in the Families First Coronavirus Response Act (FFCRA) require states to maintain continuous Medicaid enrollment for enrollees until the end of the month when the COVID-19 public health emergency (PHE) ends. When the continuous enrollment requirements end and states resume redeterminations and disenrollments, individuals with LEP may be at increased risk of losing Medicaid coverage or experiencing a gap in coverage due to barriers completing these processes, even if they remain eligible for coverage.

Medicaid and CHIP Eligibility and Enrollment Policies as of January 2022: Findings from a 50-State Survey

Mar 16, 2022

Report

The 20th annual survey of state Medicaid and CHIP program officials conducted by the Kaiser Family Foundation (KFF) and the Georgetown University Center for Children and Families in January 2022 presents a snapshot of actions states are taking to prepare for the lifting of the continuous enrollment requirement, as well as key state Medicaid eligibility, enrollment and renewal procedures in place during the PHE.

States Are Planning for the End of the Continuous Enrollment Requirement in Medicaid After the COVID-19 Public Health Emergency Expires, But Many Have Not Made Key Decisions

Mar 16, 2022

News Release

As states plan for the end of the COVID-19 public health emergency, the resumption of eligibility redeterminations and disenrollments when the continuous Medicaid enrollment requirement is lifted could lead to coverage disruptions and losses, according to a new KFF 50-state survey. The requirement, a condition of states receiving enhanced federal Medicaid funding during the pandemic, has helped drive Medicaid and CHIP enrollment to a record 85 million people, an increase of 19.1 percent since the…

Medicaid Spending and Enrollment: Updated for FY 2022 and Looking Ahead to FY 2023

Apr 4, 2022

Issue Brief

In February 2022, the Kaiser Family Foundation (KFF) and Health Management Associates (HMA) fielded a rapid, mini-survey of Medicaid directors in all 50 states and the District of Columbia as a follow-up to the annual Medicaid Budget Survey conducted in summer 2021. This brief explores Medicaid enrollment and spending growth estimates for FY 2022 and projections for FY 2023, as reported by state Medicaid directors.

Medicaid Enrollment among the Unemployed During the COVID-19 Pandemic and Beyond

Dec 13, 2022

Issue Brief

This brief reviews what we know about Medicaid enrollment changes during economic downturns, examines unemployment-linked Medicaid enrollments early on in the COVID-19 pandemic, and considers the implications for the unwinding of the national public health emergency (PHE).

Four Key Changes in the Biden Administration’s Final Rule on Medicare Enrollment and Eligibility

Dec 15, 2022

Issue Brief

This brief highlights four key changes related to Medicare enrollment and eligibility that are designed to minimize gaps in coverage ad improve access to care.

Continuous Eligibility Policies Can Reduce the Number of Children Who Lose Medicaid Despite Still Being Eligible for Coverage

Dec 21, 2022

News Release

A new KFF analysis finds disenrollment rates were lower in the 12 months leading up to annual renewals for children in states with 12-month continuous eligibility compared with states without the policy. Congress is expected to pass an omnibus spending bill by the end of the year that would require 12-month continuous eligibility for children in all states. The analysis also finds that in states with 12-month continuous eligibility, a smaller share of children disenrolled…

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