Health Plans Say Texting Could Mitigate Medicaid Redetermination Snafus

  • Oct 13, 2023

    States are struggling to complete Medicaid redeterminations: CMS has said that there are potentially millions of Medicaid and Children’s Health Insurance Program members who were improperly disenrolled due to administrative problems. Some in the managed care industry believe that text messaging could drastically reduce the amount of procedural disenrollments, but a managed care trade group says that regulatory and operational struggles stand in the way of texting’s full potential. 

    State-led verification of Medicaid eligibility restarted earlier this year after being paused for several years as part of the federal response to the COVID-19 pandemic. According to KFF, “at least” 7.87 million people have been disenrolled through Oct. 2 — a figure that is almost certainly an “undercount” due to reporting lags of state data. KFF also found that 73% of people disenrolled from Medicaid lost coverage for “procedural reasons.” 

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  • 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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