Millions of Americans could be at risk of losing Medicaid coverage once the public health emergency ends, and state and federal officials are scrambling to prepare.
Up to 15 million Americans, including 6 million kids, are at risk of losing Medicaid coverage once the public health emergency ends. State and federal officials are scrambling to prepare.Phil McCausland
Across the country, local agencies like Preston’s are preparing for the unraveling of the expanded social safety net created in response to the pandemic — and, most significantly, the end of continuous Medicaid coverage, which expires Jan. 15, at the end ofFamilies First Coronavirus Response Act “The time to start planning for this was yesterday,” said Cindy Mann, a partner at Manatt Health who served as director of the Center for Medicaid and CHIP Services during the Obama administration. “We really don’t have more time.”
The Centers for Medicare and Medicaid Services reported that between February 2020 and May 2021, Medicaid and CHIP enrollment grew by 11 million people, or more than 17 percent, the largest enrollment increase over 18 months in the program’s history. Federal spending on the program grew by 9.2 percent to $671.2 billion in 2020 because of the growth in enrollment.
Government officials and health care advocates emphasized how large a shift in American health care coverage this would be and noted that this would occur while the country is still struggling with the spread of the coronavirus."This could be the biggest health care transition since the Affordable Care Act passed," Dorn said."But this would be in a negative direction for coverage, instead of a positive one.
With about 300 case managers, it would amount to more than 1,500 applications for each of them to process within 90 days. Ohio has gone so far as to appropriate $35 million for an outside vendor called Public Consulting Group. The companyby checking third-party sources and finish the work within days. Of those that Public Consulting Group flags, the state would pay 10 to 20 percent of its savings to the company, according to the November newsletter published by the Ohio General Assembly Joint Medicaid Oversight Committee.
The focus for Tsai and Chiquita Brooks-LaSure, administrator of the Centers for Medicare and Medicaid Services, has been to ensure that those who remain eligible maintain coverage and those who don’t transition to other forms of coverage, but there are challenges there, as well.
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