On January 27, 2023, the Centers for Medicare & Medicaid Services released a State Health Official (SHO) letter, “Medicaid Continuous Enrollment Condition Changes, Conditions for Receiving the FFCRA Temporary FMAP Increase, Reporting Requirements, and Enforcement Provisions in the Consolidated Appropriations Act, 2023.” The SHO letter is the second in a series of guidance related to section 5131 of the Consolidated Appropriations Act, 2023 (CAA), which established a fixed end date for the Medicaid continuous coverage requirement, a gradual phase-down for the enhanced federal match, and new guardrails for mitigating coverage loss for individuals who continue to be eligible. This expert perspective reviews the additional detail and operational expectations of states during the unwinding of Medicaid continuous coverage as laid out in the SHO letter.
Boosting Enrollment: Lessons Learned from 2013-2014
Wakely Consulting Group – Jon Kingsdale, Ph.D., Kathie J. Mazza, and Kerry Connolly
With the recent conclusion of the initial open enrollment period under the Affordable Care Act, opportunities now exist to examine the experiences and successes of several state-based marketplaces in order to evaluate how they reached consumers and enrolled them in Qualified Health Plans. The observations and experiences of these states can lead to valuable lessons moving forward regarding marketing and sales campaigns, including targeting specific populations, the roles and resources of navigators, and media and marketing support. This issue brief, prepared by Wakely Consulting Group, analyzes observations drawn from Colorado, Connecticut, Kentucky, Rhode Island, and Washington, to offer recommendations intended to maximize enrollment. An executive summary of this issue brief provides an overview of this topic, including a brief synopsis of the authors’ recommendations for optimizing future enrollment.