The White House gave states a few months to prepare for the end of the public health emergency and the resumption of Medicaid renewals, but some policy experts say it was difficult for states to realize the downstream impact.
"It is hard to underestimate or underscore enough the historical, traumatic events that we are experiencing in the Medicaid base right now," said Karen Shields, a former deputy director of the Centers for Medicare & Medicaid Services’ Center for Medicaid and CHIP Services under the Obama administration and now client engagement officer at Gainwell Technologies, a company that provides digital solutions to administer health and human services programs.
"The [coverage] grounds that we have made since the passage of the [2010 health care law] are quite frankly about to erode because we are not taking this problem seriously enough," she said.
In Arkansas, for example, the state reported 72,802 beneficiaries had lost Medicaid coverage during the first month of redeterminations — 40 percent of whom were children and 72 percent of whom lost their coverage for procedural reasons.
But the Arkansas Department of Health defended these high numbers of procedural terminations by arguing that many residents simply chose not to turn in their Medicaid paperwork because they knew they no longer qualified. While these people may count as procedural coverage losses, they were aware of the process, argued Arkansas Department of Health communications chief Gavin Lesnick.
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June 28, 2023 at 04:03PM
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HHS has limited options as millions lose Medicaid - Roll Call
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