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The COVID-19 pandemic paused Medicaid redetermination, leading to record-high enrollment. As the public health emergency ended, states resumed eligibility reviews, resulting in over 25 million Medicaid and CHIP members being disenrolled. This paper explores lessons from the Medicaid unwinding process, including:
- Variation in disenrollment rates, with some states disenrolling up to 50%
- Strategies to prevent procedural disenrollments, like ex parte renewals
- Financial pressures on Medicaid managed care organizations
- 2025 priorities, such as addressing health disparities
It also discusses technology-driven solutions to improve care access and efficiency. Read the full paper for more insights.