Medicaid in the headlines: 10 recent updates

More than 5 million people have been disenrolled during the Medicaid redeterminations process. In some states, Medicaid recipients have filed legal challenges to the process, and whistleblowers are raising alarms. 

Here are 10 updates about Medicaid Becker's has reported since Aug. 17. 

  1. North Carolina's Medicaid expansion could be delayed until 2024. Funding for the expansion is linked to the passage of the state's 2023-2024 budget, which has stalled in the state's legislature. 

  1. Over a dozen states have excessive wait times for Medicaid call centers or high rates of call abandonment, according to CMS. 

  1. Anonymous employees with Texas HHS filed a whistleblower complaint against the agency over "numerous and growing system issues" they say are leading to incorrectly terminated health coverage during the Medicaid redeterminations process. 

  1. Medicaid beneficiaries in Oregon, Indiana, Missouri and Colorado had personal information, including Social Security numbers and medical history, breached in a massive ransomware attack on the MOVEIt software application. 

  1. Michigan is seeking contractors to manage Medicaid care for more than 2.2 million people. The state's health and human services department is implementing new requirements for network adequacy and timely access to care for managed care plans. 

  1. Two families filed a proposed class-action lawsuit Aug. 22, accusing Florida of terminating their Medicaid coverage without proper notice or a chance to contest the decision. 

  1. People searching for insurance online after losing Medicaid coverage face misleading advertising for limited-benefit plans, a report from the Georgetown University Center for Health Insurance Reforms in Washington, D.C., found. 

  1. More than 5 million people have been disenrolled from Medicaid through the unwinding of the COVID-19 public health emergency, reaching 5.5 million as of Aug. 29. More than 74 percent of those disenrollments have been for procedural reasons, according to data from KFF.

  1. A majority of states contract with private insurers to provide health benefits through their Medicaid programs, and many payers are choosing physicians to oversee the job. Here are 10 Medicaid managed care organizations with a physician president or CEO. 

  1. U.S. Rep. Frank Pallone Jr. launched an inquiry into prior authorization denials by Medicaid managed care organizations. 


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