Centene loses 263,000 Medicaid members in 1st months of redeterminations

Early data from Medicaid redeterminations is in line with Centene's expectations for membership losses, executives told investors. 

According to the company's second-quarter earnings report published July 28, the company's Medicaid membership was 16,059,600, down 262,700 from the end of the first quarter.

Centene's year-over-year Medicaid membership increased from 15,446,000 in the second quarter of 2022. 

On a July 28 call with investors, Centene CEO Sarah London said the redeterminations process has been in line with the company's expectations. 

The company is expecting many members disenrolled for procedural reasons to eventually reenroll in the program.

"We are recapturing members who fell off but still have eligibility. And because of all of the outreach efforts we're making, we're able to bring those members back on and track the fact that we're able to successfully reenroll them," Ms. London said. 

As of July 27, at least 3.79 million people have been disenrolled from Medicaid through the redeterminations process, according to KFF. Of those disenrolled, 73 percent are due to procedural reasons, rather than being determined ineligible for the program. 

On July 19, CMS said it had required some states to pause redeterminations to correct errors. 

Ms. London said it is unclear what effect these interventions will have on procedural disenrollments. 

"Relative to the CMS intervention, our view is that CMS has provided great flexibility for the states to go a little bit slower. Obviously, in recent weeks, they've taken a bit of a stronger stance relative to a certain cohort of states, but it's still too early to see whether that will have a major impact on the slope," she said. 

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Top 40 articles from the past 6 months