How One Louisiana Plan Will Enroll People Leaving Medicaid in Marketplace Plans

Medicaid resumed eligibility redeterminations in April after a multi-year pause related to the pandemic. This has profound implications for Medicaid managed care organizations, which could lose a large portion of their membership — and it is a major opportunity to boost enrollment for plans operating Affordable Care Act marketplace plans. Those plans could enroll some of the people leaving Medicaid due to redeterminations.

Exchange insurers such as Blue Cross Blue Shield of Louisiana may be able to take advantage of the opportunity. Elevance Health, Inc., the parent company of Anthem, recently announced plans to acquire Blue Cross Blue Shield of Louisiana; Anthem has about 350,000 Medicaid members in Louisiana, according to the AIS Directory of Health Plans (DHP). Blue Cross Blue Shield of Louisiana doesn’t cover any Medicaid members, but has about 70,000 marketplace members, per DHP.

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