What Medicaid enrollees are saying about redeterminations

Though states and Medicaid managed care plans are ramping up campaigns to let their members know about upcoming redeterminations, most participants in a focus group conducted by Kaiser Family Foundation said they had not been asked to update their contact information by their Medicaid plan. 

Advertisement

States can begin removing members who are no longer eligible for the program from their rolls as soon as April 1. States have been required to keep Medicaid beneficiaries continuously enrolled in coverage since early 2020, when the public health emergency for COVID-19 was put in place. 

Kaiser Family Foundation interviewed 39 Medicaid beneficiaries in 12 states about their experiences with the upcoming redeterminations process. A summary of the focus groups’ findings was published March 9. 

Here are seven key findings to note: 

  1. Among the focus group participants, there was little knowledge that they were continuously enrolled during the pandemic. According to KFF, some states communicated this to their enrollees, but many did not. 
  2. Almost all of the participants said they did not know they could be disenrolled from coverage as soon as April 1. All of the participants said they would try to renew their coverage. 
  3. Most participants said they chose to receive information from Medicaid through multiple channels, including mail, email and text messages. 
  4. Most of the focus group participants said they had not been asked by their Medicaid agency to update their contact information to prepare for the redeterminations process. 
  5. Focus group participants said they wanted to receive communications about redetermination requirements through multiple channels. 
  6. For participants that had renewed their Medicaid coverage before, most said the process was relatively easy, especially in recent years. 
  7. If they lose Medicaid coverage, most participants said they would look for coverage options on the ACA exchange or through their employer. Some said they could obtain coverage through their work but were concerned the premiums would be unaffordable. 

Read more here.

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.

Register to Attend Webinar

Read. Deleted. Ignored. What It Takes to Drive Behavior Change and Lower the Cost of Care

Tuesday, August 4
11:00 AM - 12:00 PM CDT

Presenters: Koleen Cavanaugh, Independence Blue CrossBukata Hayes, HMO Minnesota (Blue Plus)Nathan Foco, Select HealthTrish Cox, SCAN Health PlanJonas Puente, ZS Associates

Advertisement

Next Up in Payer

Advertisement

Comments are closed.