3 Medicaid redetermination updates

Nearly 17 million people have been disenrolled from Medicaid since April 2023. 

According to KFF, as of Feb. 13, 16.9 million people have been disenrolled from Medicaid through the redeterminations process, and 34.3 million have had their coverage renewed. 

Another 42.8 million people are yet to have their coverage renewed, according to KFF data. States began the process of redetermining the eligibility of Medicaid recipients for the first time since 2020 in April, after continuous eligibility requirements in place during the COVID-19 pandemic expired.  

Here are three recent updates on the process Becker's has reported since Jan. 

  1. Elevance Health had the largest declines in Medicaid membership in 2024 out of the largest Medicaid managed care providers, with a drop of 11.7%. Centene saw the second highest share of its members disenrolled, at 11.3%.

  2. A software Texas uses to process Medicaid renewals is not working accurately, causing people to be wrongfully disenrolled from the program, advocates allege. The National Health Law Program submitted a complaint to the Federal Trade Commission Jan. 31, asking the agency to investigate Texas's automatic eligibility software, operated by Deloitte.

    Texas has disenrolled the most Medicaid members of any state so far, with 2 million people removed from the program, according to KFF. Of those, 70% were disenrolled for procedural reasons, rather than being determined ineligible on the basis of income. 

  3. With nearly 17 million people disenrolled from Medicaid, and another 42.8 million yet to be processed by states, the number of disenrollments have already surpassed HHS' original estimates that around 15 million Medicaid recipients would lose coverage during the redeterminations process. 

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