Three years ago, California started an experiment to transform its Medicaid program. This article explains the program's admirable intent as well as its hindrances.
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Today, Centers for Medicare & Medicaid Services finalized and released the second part of the Medicaid streamlining rule which removes many administrative barriers to enrolling in and retaining Medicaid coverage for all populations. One big win for older adults and people with disabilities is a change in the regulations that removes a barrier to obtaining home and community-based services (HCBS) if you are in a share of cost/spend down Medicaid program. Chipping away at the institutional bias one policy at a time! 🎉 https://lnkd.in/gmTcK-UJ
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In their new Forefront article, Jennifer Wagner, Allison Orris, Laura Guerra-Cardus, and Sarah Lueck of the Center on Budget and Policy Priorities argue that state and federal policymakers should take sustained action to fix the problems that are surfacing during the Medicaid "unwinding." "Roughly nine months into “unwinding,” with most states resuming eligibility terminations in Medicaid after a three-year pause during the pandemic, the challenges are mounting. People are wrongly losing coverage or being asked to jump over hurdles to keep or regain their benefits. Many who lost coverage are still eligible for Medicaid. Others who aren’t eligible for Medicaid need to find other coverage. Many—but not all—people losing Medicaid qualify for no-cost or low-cost coverage through the Affordable Care Act (ACA) marketplaces, but enrolling in that coverage can be challenging. And other low-income people no longer eligible for Medicaid fall into a coverage gap in states that still haven’t expanded the program." Read the full article here: https://bit.ly/46LL26j
Unwinding Should Be A Call to Action To Fix Fragmented System | Health Affairs Forefront
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States have the power to make re-enrolling in Medicaid simpler, which will keep more people insured and able to access the care they need. Several states have made efforts to do exactly that – rolling out policies that help folks navigate the Medicaid unwinding, including loosening requirements and delaying application deadlines. This is crucial because many of the people who were disenrolled from Medicaid never tried to re-enroll, or were unable to complete the complicated and often overwhelming process. This is a major barrier to coverage – and a preventable one. Policymakers need to act quickly to correct these administrative failures. https://lnkd.in/e7Jn5PKS
Most People Dropped in Medicaid ‘Unwinding' Never Tried to Renew Coverage, Utah Finds - KFF Health News
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Medicaid Expansion. Wisconsin is on the brink of expanding Medicaid, a game-changer for countless individuals and families. But what does Medicaid expansion mean? Simply, it extends coverage to more people, including those slightly above the poverty line who previously fell through the cracks. This move not only increases access to healthcare but also reduces uninsured rates, promoting a healthier Wisconsin. Whether you qualify for Medicaid coverage depends partly on whether your state has expanded its program. In states that have expanded Medicaid coverage: You can qualify based on your income alone. If your household income is below 133% of the federal poverty level, you qualify. For HR reps and consumers, understanding the impact is vital. Here's some key things to think about: 1). How will Medicaid expansion affect your current health insurance options? 2). Are you or your employees newly eligible for coverage under this expansion? 3). What steps should you take to explore and enroll in expanded Medicaid options? Stay informed and proactive in navigating these changes. Medicaid expansion could be the key to unlocking better health and financial security for many. #WisconsinMedicaid #medicare #beinformed #resourceforall
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5 Takeaways From a Year of Medicaid Upheaval https://lnkd.in/gAfTHCzY #weareone #weare strong
www.nytimes.com/2024/04/16/us/politics/medicaid-eligibility-unwinding.html
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A recent KFF survey paints a concerning picture of the impact of Medicaid unwinding on low-income Americans. Here are the key takeaways: - Nearly a quarter (23%) of disenrolled adults are now uninsured, highlighting potential health risks and financial burdens. - Half who lost coverage reenrolled later, suggesting unnecessary disruptions in care. - Renewing Medicaid proved difficult and stressful for many (35% & 48%). - Many skipped care or prescriptions due to renewal challenges (56%). Learn more: https://hubs.ly/Q02tbycw0
Nearly 1 in 4 adults dumped from Medicaid are now uninsured, survey finds
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From the LA Times: "The Biden administration predicted about 15 million people would lose coverage under Medicaid or CHIP during the unwinding period, nearly half due to procedural issues. Both predictions have proved low. Based on data reported so far, disenrollments are likely to exceed 17 million, according to KFF — 70% due to procedural reasons." Halfway through Medicaid purge, enrollment is down about 10 million Since last April, states have removed more than 16 million people from their Medicaid programs in a process known as the “unwinding,” according to KFF estimates compiled from state-level data. Can you imagine losing your health insurance because your address wasn't updated? During the last 10 months, more than 12 million Americans have been denied health insurance for procedural reasons, such as postal addresses not matching. Sadly, Texas is and was one of the states dropping the most otherwise eligible children and families. Fortunately, Texas can look to other states, like Arizona, that did a much better job of improving for the future. Let’s work with HHSC and the legislature to improve our eligibility processes to help everyone involved.
Halfway through Medicaid purge, enrollment is down about 10 million — Los Angeles Times
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🌍📡. Stay informed with the World News website, where every click unveils a tapestry of global events. 🕵️♂️🌐.
5 Takeaways From a Year of Medicaid Upheaval
5 Takeaways From A Year Of Medicaid Upheaval
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Exciting pilot program for Medicaid! DC and 8 states are currently participating in the effort to improve health outcomes for Medicaid patients by addressing housing and hunger needs. Services include up to six months’ rent, utility subsidies, and nutritious food deliveries. “This wave of attention to social needs grows out of a recognition, going back at least three decades, that social determinants of health — essentially, the conditions in which people live — have an enormous bearing on well-being. Medical care, studies have shown, accounts for only 20 percent of the difference in patients’ health, while social risk factors are responsible for half to 80 percent.” https://lnkd.in/e4AzwJAY
Medicaid’s prescription for health includes food and housing in some states
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PLANNING AHEAD: How Medicare services at home differ from at-home Medicaid http://ow.ly/5uwi30sCv3H
PLANNING AHEAD: How Medicare services at home differ from at-home Medicaid
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