In 2023 and 2024, states redetermined the eligibility of Medicaid beneficiaries for the first time since 2020. States were barred from removing any beneficiaries from the program during the COVID-19 public health emergency, regardless of their eligibility.
By the end of 2024, almost every state had completed the process of redetermining beneficiaries’ eligibility for Medicaid.
More than 25 million Medicaid beneficiaries were disenrolled during the process, according to KFF.
Here is how payers’ Medicaid membership compares before and after the redeterminations process:
Elevance Health
Q1 2023: 11.89 million
Q4 2024: 8.92 million
Percent change: -25%
Centene
Q1 2023: 16.32 million
Q4 2024: 13.00 million
Percent change: -20.3%
UnitedHealthcare
Q1 2023: 8.38 million
Q4 2024: 7.44 million
Percent change: -11.2%
Molina
Q1 2023: 4.83 million
Q4 2024: 4.89 million
Percent change: +1.2%
Humana
Q1 2023: 1.37 million
Q4 2024: 1.46 million
Percent change: +6.6%
Aetna
Q1 2023: 2.79 million
Q4 2024: 2.52 million
Percent change: -9.7%
