Changes in Coverage: Managing the Loss of ESI in the Midst of COVID-19
On Thursday, May 14, State Health and Value Strategies, in partnership with technical experts from Manatt Health, Levitis Strategies, GMMB, and the Urban Institute hosted a webinar for states to help address the rapidly-evolving changes to the coverage environment. As the COVID-19 crisis evolves, it has become clear that rising unemployment will substantially reduce employer sponsored health insurance. Depending on how Congress responds, there are likely to be significant increases in Medicaid and Marketplace coverage, as well as more people uninsured. These coverage churns will leave states grappling to understand and implement timely and effective strategies to ensure individuals have access to, and enroll in coverage, that is most appropriate for their situation.
During the webinar, speakers discussed the models that have been published of where individuals are expected to gain coverage over the next 18 months, including data from a recent Urban Institute report, the impact on the Medicaid, individual, and employer-sponsored insurance markets, the role of special enrollment periods, and coordination with unemployment agencies. The webinar also highlighted communications opportunities and strategies for states to support enrollment.
This expert perspective reviews key considerations for states exploring Marketplace insurance subsidies and highlights the experiences in the five states that have established state-based subsidies that supplement the ACA’s premium tax credit and cost-sharing reductions.
The United States is in the midst of an unprecedented national effort to manufacture, distribute, and ultimately administer COVID-19 vaccines to all Americans. While the federal government is coordinating distribution of vaccines from manufacturers to states, individual states (and certain municipalities) are responsible for coordinating the various components of infrastructure and operational logistics needed to take the vaccine from federal distribution channels to the arms of Americans. This expert perspective outlines four recommendations for states to engage their managed care plans to assist in efforts to successfully and rapidly vaccinate the Medicaid population.