How One Louisiana Plan Will Enroll People Leaving Medicaid in Marketplace Plans

  • Jun 09, 2023

    Medicaid resumed eligibility redeterminations in April after a multi-year pause related to the pandemic. This has profound implications for Medicaid managed care organizations, which could lose a large portion of their membership — and it is a major opportunity to boost enrollment for plans operating Affordable Care Act marketplace plans. Those plans could enroll some of the people leaving Medicaid due to redeterminations.

    Exchange insurers such as Blue Cross Blue Shield of Louisiana may be able to take advantage of the opportunity. Elevance Health, Inc., the parent company of Anthem, recently announced plans to acquire Blue Cross Blue Shield of Louisiana; Anthem has about 350,000 Medicaid members in Louisiana, according to the AIS Directory of Health Plans (DHP). Blue Cross Blue Shield of Louisiana doesn’t cover any Medicaid members, but has about 70,000 marketplace members, per DHP. 

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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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