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Medicaid Unwinding Resources

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Blog

This blog post documents relevant changes to coverage since the Medicaid unwinding, such as uninsurance rates by age.

Commentary

This commentary examines national- and state-level data on healthcare coverage from the 2023 American Community Survey (ACS).

Toolkit

This toolkit includes resources designed to help states effectively promote information about Marketplace enrollment and health plan options to consumers during the annual open enrollment period.

Blog

This blog reviews recent survey data findings on how the insurance coverage of low-income children changed between 2022 and 2023 both nationally and at the state level.

Map

This interactive map shows uninsurance rates by state and sub-state geographies, demographic characteristics for 2023, and comparison year 2022.

Blog

This blog examines the following steps to strengthen the Mental Health Parity and Addiction Equity Act (MHPAEA) in Medicaid and CHIP.

Blog

This blog walks through state-level findings regarding different types of health insurance and changes by age category.

Blog

This blog highlights the aftermath of the Medicaid unwinding and state efforts to smooth coverage transitions.

Blog

This blog post reviews and links to the CMCS Informational Bulletin (CIB) and accompanying slide deck.

Blog, Toolkit

This dual-language toolkit provides families with information on Medicaid and CHIP and how to apply or re-apply.

Blog

This blog reviews the Government Accountability Office's (GOA) report entitled: “Medicaid: Federal Oversight of State Eligibility Redeterminations Should Reflect Lessons Learned after COVID-19.”

Blog

This blog reviews what can be anticipated from the upcoming release of the Census Bureau’s 2023 survey data in September based on current Medicaid unwinding statistics.

Brief

07.2024 / By Urban Institute

This brief assesses changes in health insurance coverage and cost-related barriers to healthcare during the COVID-19 public health emergency following the implementation of policies that aimed to improve access to Medicaid and Marketplace coverage. 

Blog

This blog discusses extended timelines for states to process Medicaid renewals, the importance of reporting renewal outcomes, and updates to renewal data.

Blog

This blog covers some of the quintessential outreach efforts performed by states to inform and educate individuals about Medicaid and CHIP benefits.

Blog

This blog reviews CMS marketplace enrollment data from February 2024, which was after the 2024 Open Enrollment Period had ended in nearly all states.

Blog

This blog details why state agencies can and should post relevant enrollment and eligibility information on social media platforms to connect with those eligible for Medicaid/CHIP.

Blog

06.2024 / By Benefits Data Trust

This blog reviews changes to the Medicaid and CHIP programs to streamline enrollment for eligible individuals.

Blog

This blog reviews new data on the share of children with Medicaid/CHIP coverage of more than 7,000 school districts nationwide and the importance these coverage programs have to students. 

Blog

This blog examines new data for January 2024, which was the last month of the 2024 Open Enrollment Period in nearly all states.

Report

This paper uses administrative data reported by states to CMS to examine how the unwinding impacted children’s enrollment in Medicaid and CHIP in 2023.

Blog

This blog uses data from the U.S. Census Bureau’s Household Pulse Survey to track trends in adult health insurance coverage rates as states “unwind” Medicaid continuous coverage and restart standard redetermination procedures.

Commentary

On April 2, 2024, the Centers for Medicare & Medicaid Services (CMS) released the final Notice of Benefit and Payment Parameters (NBPP) for 2025. This annual rule governs core provisions of the Affordable Care Act (ACA), including operation of the health insurance Marketplaces, standards for health plans, insurance brokers (including web-brokers), and the risk adjustment program. This blog focuses on provisions of the final rule of interest to state officials.

Webinar & Presentations

During this webinar, experts from Manatt Health reviewed key Medicaid and CHIP provisions in the final rule and discussed considerations for state policymakers.

Report

The survey series provides an in-depth view of health plans’ responses regarding risk mitigation, disenrollment, and outreach.

Report

04.2024 / By Georgetown CCF

This report summarizes and examines the content of the most recent final rule from CMS.

Blog

This blog examines increases in Marketplace enrollment among people losing Medicaid coverage during the unwinding. 

Blog

This blog examines the first batch of call center data provided by CMS from March and its shortcomings.

Blog

This blog tracks trends in adult health insurance coverage rates as states “unwind” the Medicaid continuous coverage requirement.

Blog

03.2024 / By Georgetown CCF

In this blog, The Georgetown University Center for Children and Families outlines and expands on the 10 "Do Nots" outlined in the bulletin.

Blog

03.2024 / By Georgetown CCF

In this blog, the Georgetown University Center for Children and Families analyzes recent survey findings regarding the impact of Medicaid unwinding and enrollees' experiences.

Blog

03.2024 / By Georgetown CCF

The Center for Children and Families (CCF) at Georgetown University analyzed  data on which states are taking longer than the federally regulated 45 days to process Medicaid applications for low-income children, families, and adults. This blog takes a look at some of the states taking longer than their allotted 45 days and the possible reasons behind it.

Blog

This blog  tracks trends in adult health insurance coverage rates as states unwind the Medicaid continuous coverage requirement and continue redetermination procedures.

Blog

02.2024 / By Benefits Data Trust

This blog shares a “Medicaid Churn Toolkit” to guide Medicaid agencies and their partners in the design and implementation of efforts to reduce churn.

Blog

This blog discusses the surge in Marketplace enrollment among individuals losing coverage during the unwinding. 

Blog

This blog examines how gaps in coverage are affecting California families, particularly those that have children with special healthcare needs, and steps the state can take to renew coverage for more families.

Blog

This blog examines a Q&A, which is intended to serve as an added resource for states implementing continuous eligibility. 

Blog

This blog compared states' ex parte rates from their first month of unwinding to the most recent to identify whether progress has been made.

Blog

This blog examines state and territorial health agencies strategies, and state approaches during the unwinding of continuous coverage. 

TOPICS
Blog

This blog highlights findings from a rapid message test conducted to gauge the persuasiveness of Medicaid renewal message themes.

Blog

On December 18, 2023, the Centers for Medicare & Medicaid Services (CMS) released a suite of Medicaid unwinding-related guidance and enrollment data that includes a focus on ensuring eligible children maintain Medicaid and Children’s Health Insurance Program (CHIP) coverage. In conjunction with CMS’ release, the United States Department of Health and Human Services (HHS) sent letters to the governors of nine states with the highest child disenrollment rates.

This blog from State Health & Value Strategies reviews the HHS letters and discusses specific resources available to states as the unwinding continues. 

Blog

This blog examines states' unwinding data, variation in reporting of indicators, and data dashboards.

Blog

This blog highlights new and innovative initiatives being implemented during the plan year 2024 OEP.

Blog

This blog reviews SBMs reporting of Marketplace transition outcome data, state variations in reporting, and considerations for presenting outcomes data.

Blog

This blog highlights a new Commonwealth Fund post, which assesses the status of state efforts to smooth coverage transitions during the unwinding and discusses the need for more timely and accurate data.

Brief

This brief outlines strategies for state Medicaid agencies to help people experiencing food insecurity obtain continuous access to nourishing food.

Webinar & Presentations

This webinar explored successful practices for data coordination between SNAP and Medicaid agencies gleaned from a 50-state survey and three state case studies.

Blog

Using state data, this continually-updated blog analyzes the current state of the unwinding and identifies state-based based best practices and trends. 

Blog

This blog examines CMS' fourth release of state data reporting metrics, which includes information on Marketplace enrollment transitions.

Blog

This blog uses data from the U.S. Census Bureau’s Household Pulse Survey to track trends in adult health insurance coverage rates during the unwinding. 

Blog

This blog summarizes a number of new and ongoing policy changes that will impact the Marketplace as the annual open enrollment period for Affordable Care Act Marketplace coverage kicks off November 1 in most states.

Blog

This blog examines variations in states' reporting of indicators and data highlights.

Blog

This blog shares new CMS data on Marketplace enrollment and transitions, and separate CHIP enrollment.

Blog

This blog uses data from the U.S. Census Bureau’s Household Pulse Survey to track trends in adult health insurance coverage rates amid the unwinding.

Blog

This blog provides a high-level overview of key provisions included in the final rule that will facilitate enrollment and retention of Medicare Savings Program coverage.

Blog

This blog discusses states' approaches to support coverage through the unwinding period.

Blog

This blog uses data from the U.S. Census Bureau’s Household Pulse Survey to track trends in adult health insurance coverage rates as states “unwind” the Medicaid continuous coverage requirement.

Blog

This blog highlights national and state-level changes that took place between 2021 and 2022 in the broadest categories of insurance.

Blog

This blog shares a new report that offers policy recommendations to ensure new mothers are able to access coverage and high-quality care during the postpartum period.

Blog

In this blog and infographic, SHADAC researchers use recently released data from the Medical Expenditure Panel Survey-Insurance Component (MEPS-IC) to analyze private-sector ESI and provide an initial snapshot of estimates for 2022 on a national level and within the states.

Blog

09.2023 / By Benefits Data Trust

This blog discusses available options states can adopt to improve ex parte rates.

Report

09.2023 / By Urban Institute

This report shares findings with policy implications for how counts of the uninsured should be interpreted while highlighting the importance of policies that promote Medicaid enrollment and retention.

Blog

This blog shares data on how states are monitoring the impacts of the resumption of eligibility redeterminations and disenrollments.

Blog

This blog tracks trends in adult health insurance coverage rates as states “unwind” the Medicaid continuous coverage requirement.

Toolkit

This toolkit identifies opportunities and explores strategies to improve call center functionality.

Blog

This blog shares individual-level surveys of people who were enrolled in Medicaid during the continuous coverage requirement to help answer whether people are gaining employer-sponsored insurance (ESI) upon leaving Medicaid coverage and why some successfully renewed while others could not. 

Publication

This publication explores how Medicaid enrollees searching for new health plans on the private market are facing aggressive and misleading marketing of limited benefit products that often fail to protect consumers from the steep cost of healthcare.

Blog

This blog reviews state processes that are underway to ensure eligible children who are losing Medicaid coverage are transitioning to CHIP. 

Blog

This blog examines states' use of data dashboards to monitor progress on coverage transitions during the unwinding.

Blog

This blog examines trends in adult health insurance coverage rates as states “unwind” the Medicaid continuous coverage requirement and restart standard redetermination procedures. 

Blog

This blog discusses how data dashboards allow states to make proactive decisions about what data to release and on what schedule.

Blog

This blog examines two case studies that highlight how the profile can support the enrollment efforts of local organizations and departments.

Blog

This blog discusses how data dashboards can be useful for states to make proactive decisions about what data to release and on what schedule and then organize that data in an easy-to-digest visual format that facilitates the interpretation of key coverage trends. 

Blog

This blog discusses how states are approaching helping their residents secure coverage.

Blog

This blog examines and maps states that are using publicly available dashboards to share key data points as they monitor enrollment transitions throughout the unwinding. 

05.2023 / By Urban Institute

This report analyzes healthcare coverage and eligibility of nonelderly noncitizens compared with the entire nonelderly population of the US. 

Blog

This blog reviews selected policies tied to the PHE and evaluates how their expiration will impact consumers’ access to services.

Report

05.2023 / By Benefits Data Trust

This report examines how states coordinate across Medicaid and the Supplemental Nutrition Assistance Program.

Blog

This blog focuses on provisions of the final rule most of interest to State-Based Marketplaces and state insurance regulators.

Blog

This blog discusses how new CMS approvals in Oregon and Washington will protect health coverage for children and families during this Medicaid unwinding, minimizing coverage disruptions and easing transitions to new sources of health coverage.

Blog

This blog discusses that, while there are many factors that may affect the scale of coverage losses from procedural disenrollments, one of the significant concern is notices.

Blog

This blog focuses on market reforms and consumer assistance within the 2024 Notice of Benefit & Payment Parameters.

Blog

This blog discusses key themes underlying many of the 2024 rules including the administration's commitments to advancing health equity, improving the costumer experience, and expanding marketplace enrollment.

Blog

This blog discusses how states have initiated plans to publish a data dashboard to monitor unwinding progress. 

Blog

This blog discusses opportunities and considerations to utilize strategies to minimize coverage loss as states reinstate Medicaid redeterminations.

Blog

This blog discusses actions government officials have been taking to promote continuity of coverage to minimize the number of people who become uninsured or face a gap in coverage.

Blog

This blog discusses how some states have initiated plans to publish a data dashboard to monitor progress given the intense focus on coverage transitions during the unwinding.

Blog

03.2023 / By Benefits Data Trust

This blog examines three key strategies Benefits Data Trust believes will help streamline the transition for government staff and Medicaid recipients.

Blog

This blog provides a checklist of actions state-based Marketplaces and state departments of insurance can take to reduce gaps in coverage and minimize disruptions in care.

Blog

This blog highlights updates to the Center On Health Insurance Reforms' Navigator Resource Guide to help consumers and enrollment assisters during the unwinding.

Blog

This blog highlights the benefits of using federal matching funds to help states hire more people, raise wages, and temporarily bring back retired workers, and pay overtime.

Blog

As states prepare to unwind the COVID-19 pandemic-related Medicaid continuous coverage requirement and resume terminations of coverage as soon as April 1, this blog examines how they could streamline eligibility determinations for older adults and people with disabilities, who face unique challenges with the Medicaid enrollment and renewal process.

Publication

This publication presents a checklist that provides an overview of the minimum redetermination requirements states must follow, and identifies some common red flags that may indicate failures by the Medicaid agency to meet those requirements.

Blog

This blog reviews a new report that explores the high stakes for children when the continuous coverage protection expires.

Report

This blog outlines the relevant reporting requirements that were included in the CAA and the corresponding reporting guidance provided by CMS.

Brief

This blog covers key considerations to account for as the unwinding begins, including a newly announced special enrollment period (SEP). 

Blog

This blog discusses that, though the law intended to cover ALL FFY and the provision seems straightforward, the way the law was constructed has many barriers and administrative burdens.

Blog

This blog highlights state strategies to maximize continuity of coverage for consumers coming off Medicaid and needing to transition to the marketplace.

Blog

This Q&A style blog discusses ex parte redeterminations in which Medicaid officials attempt to make a redetermination of an individual’s eligibility based on available data, without requiring additional information from the individual.

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