MedeAnalytics’ Post

Based on the search results, here are key points about Medicaid data in California: In California, Medicaid is known as Medi-Cal. As of 2021, nearly 4 in 10 Californians were enrolled in Medi-Cal. In 2007, there were about 1,185,000 Medicare-Medicaid dual enrollees in California. These dual enrollees represented 3% of the state's population but accounted for a disproportionate share of total spending in both Medicare and Medicaid programs. The majority (99%) of Medicare-Medicaid enrollees in California had full Medicaid benefits, with 70% aged 65 and older and 29% aged 18-64. To be eligible for Medi-Cal, individuals must be California residents, U.S. nationals, citizens, permanent residents, or legal aliens, and have low income. The maximum annual household income for eligibility ranges from $20,030 for a single person to $70,118 for a household of 8. California is part of the Health Data Access Initiative (HDAI), which aims to create a repository for Medicare and Medicaid data from the Centers for Medicare and Medicaid Services (CMS) to facilitate research access for UC researchers.

🚨 Discover the 12 crucial health policy takeaways from the latest CBO numbers. Federal deficits, Medicaid, ACA, and more! Read Paragon's latest policy brief here⬇️ https://lnkd.in/et7FxbEy

New in JAMA Internal Medicine, we find evidence that the Medicaid "unwinding" is disproportionately affecting Black and Hispanic Americans. https://lnkd.in/dNYggCRV Since April 2023, when the COVID PHE's continuous Medicaid enrollment policy lapsed, 22 million people have lost their coverage. As many as three-fourths of these individuals have lost coverage for procedural reasons, rather than for reasons related to their eligibility for Medicaid. There is particular concern that procedural barriers to Medicaid re-enrollment are more likely to affect certain communities, including racial and ethnic minority groups. But only 9 states have reported race/ethnicity data for disenrollments. We used the CDC Household Pulse survey data to assess the racial and ethnic distribution of Medicaid disenrollments after the continuous enrollment period ended. We found that Black and Hispanic individuals were disproportionately represented among those who lost coverage for procedural reasons. These findings suggest reversals of coverage gains that occurred during the PHE, particularly for Black and Hispanic individuals. Just as importantly, they highlight the need for policies to simplify and streamline these complex administrative processes in Medicaid and to minimize coverage disruptions. Thanks to The New York Times for coverage of this research and its implications: https://lnkd.in/dMnSbjWP

There’s been a lot of commentary and discussion recently about Medicaid enrollment and redetermination (see our recent HIStalk editorial: https://hubs.li/Q0248hCt0). What does it mean for your organization and the people you serve? In the wake of the COVID-19 pandemic and the end of the federal public health emergency, state Medicaid agencies are updating the eligibility status of millions of Americans. Many people will end up losing their coverage, exacerbating already tenuous situations and increasing the need for community and social services to fill in the gap; we can help: ✓ Our platform can support your state's Medicaid 1115 waiver requirements ✓ Our Marketplace program allows you to order and pay for goods and services on behalf of eligible individuals ✓ Our industry-leading nationwide network includes every hundreds of thousands of resources to address the health-related social needs of beneficiaries Read our latest blog post to learn more about the challenges facing healthcare organizations, and the technology solutions that can help you meet the social care needs of Medicaid beneficiaries. ➡️ https://hubs.li/Q0248l6s0 #findhelp #Medicaid #Medicaid1115Waiver #redetermination

Unwinding of Medicaid Continuous Enrollment: A Policy Overview As the COVID public health emergency eases, states are reviewing Medicaid eligibility, leading to significant enrollment changes. Our analysis delves into the evolving landscape, highlighting key questions and trends to monitor. Click the link to read more: https://lnkd.in/gV8a6MSD #MedicaidEnrollment #HealthPolicy #PublicHealth #MedicaidRenewals

At the onset of the COVID-19 pandemic, the federal government implemented a policy to provide additional Medicaid funds to states and restricted the ability of states to disenroll people from Medicaid, requiring continuous enrollment. The number of Granite Staters accessing health coverage through Medicaid increased 40.6 percent during this period, with Medicaid Expansion program enrollment for adults with low incomes rising 87.2 percent. The federal continuous enrollment provision expired on April 1, 2023, and New Hampshire began disenrolling people from Medicaid based on their eligibility using pre-pandemic rules. At the end of September 2023, total Medicaid enrollment had declined by 67,134 people (36.4 percent) relative to the end of March 2023, with a 38,276 (39.6 percent) decline in the Medicaid Expansion population. Total enrollment remained 5,427 (3.0 percent) higher than it was immediately before the pandemic reached New Hampshire, without adjusting for population growth. https://lnkd.in/eHhmcpZZ

As of April 1, 2023, Medicaid redetermination is undergoing significant changes. In the article linked below we go into further detail on 5 things you should know including: 1. End to continuous coverage 2. Procedural disenrollment 3. How health plans can support beneficiaries 4. Community-based support 5. Educate beneficiaries At CHS, we specialize in redetermination processes and can guide your organization through this transition. Read the article today! https://lnkd.in/g5qqmXvA #Medicaid #Medicaidmanagedcare #SdoH

Federal health spending is projected to increase significantly, posing potential budgetary challenges. Medicare and Medicaid costs are expected to rise, which will have major implications for future policies. Prescription drug spending is also set to grow, impacting both budgets and patient access. Changes in insurance coverage could affect access to care for many, while demographic shifts, particularly an aging population, will further drive up healthcare costs. These trends underscore the importance of strategic policy and economic planning to navigate the evolving healthcare landscape. #healthpolicy

With Medicaid redetermination in full swing, member engagement is a crucial focus. 71% of disenrolled members face procedural issues including outdated contact information, lack of understanding, and more. Discover effective strategies to boost member engagement and minimize procedural losses during #medicaidredetermination. https://hubs.li/Q01ZC_Gm0

Did you know? April is Medicaid Awareness Month! Medicaid is a vital program that provides health coverage to millions of Americans, including children, families, pregnant women, seniors, and people with disabilities. Uncharted Access believes everyone deserves access to quality healthcare. Medicaid plays a critical role in ensuring preventive care, treatment for chronic conditions, and long-term care for these populations. Here are some facts about Medicaid: * Over 80 million people rely on Medicaid for healthcare coverage. * Medicaid covers a wide range of services, including doctor visits, hospital care, mental health services, and prescriptions. Think you might be eligible? Many people don't realize they qualify for Medicaid benefits. #MedicaidAwarenessMonth #HealthcareForAll #unchartedaccess #clinicaltrials #clinicalresearch #healthcare #healthcareworkers