AHIP Panelists: Medicaid Redetermination Glitches Shine Light on Clunky Processes

Nearly a year into the massive nationwide effort to reverify Medicaid eligibility after a pause in redeterminations during the COVID-19 pandemic, about 40% of renewals have yet to occur. With millions of people estimated to have lost coverage because of administrative or procedural reasons, states have an opportunity to work with managed care organizations and other health care providers to innovate and improve existing processes that aren’t working, according to panelists at a recent session of AHIP’s 2024 Medicare, Medicaid, Duals & Commercial Markets Forum, held March 12 to 14 in Baltimore.

“This is still very much in progress,” and “these next few months are going to be very important,” declared panelist Kate Honsberger, a director with NORC at the University of Chicago. States as of April 1, 2023, were allowed to begin disenrolling people from Medicaid who no longer qualify, but they have 12 months to complete eligibility redeterminations, which may have kicked off at different times depending on the state.

© 2024 MMIT
Lauren Flynn Kelly

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues, including drug benefits and specialty pharmacy, for more than a decade. She served as editor of Drug Benefit News (the predecessor to Radar on Drug Benefits) from 2004 to 2005 and again from 2011 to 2016, and now manages Radar on Medicare Advantage. Lauren graduated from Vassar College with a B.A. in English.

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