Some Health Plans May Not Be Ready for Medicaid Redeterminations’ Comeback

Medicaid eligibility redeterminations will restart in just a few weeks, on April 1, but few beneficiaries know that they could lose health insurance benefits in the coming months, according to a new poll from the Urban Institute and Robert Wood Johnson Foundation (RWJF). Although some plans are taking proactive steps to manage eligibility checks, experts tell AIS Health, a division of MMIT, that many aren’t, despite the potential for significant losses of revenue for Medicaid managed care organizations (MCOs).

The Urban Institute-RWJF poll found that in December, 64.3% of adults had “heard nothing at all about the return to [the] regular Medicaid renewal process.” Rates of awareness of eligibility redeterminations varied little by region, with all regions reporting a lack of awareness between 61.3% and 67.6%. Differences were also marginal across expansion and non-expansion states.

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Peter Johnson

Peter Johnson

Peter has worked as a journalist since 2011 and has covered health care since 2020. At AIS Health, Peter covers trends in finance, business and policy that affect the health insurance and pharma sectors. For Health Plan Weekly, he covers all aspects of the U.S. health insurance sector, including employer-sponsored insurance, Medicaid managed care, Medicare Advantage and the Affordable Care Act individual marketplaces. In Radar on Drug Benefits, Peter covers the operations of (and conflicts between) pharmacy benefit managers and pharmaceutical manufacturers, with a particular focus on pricing dynamics and market access. Before joining AIS Health, Peter covered transportation, public safety and local government for various outlets in Seattle, his hometown and current place of residence. He graduated with a B.A. from Colby College.

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