When the Families First Coronavirus Response Act Medicaid “continuous coverage” requirement is discontinued states will restart eligibility redeterminations, and millions of Medicaid enrollees will be at risk of losing their coverage. A lack of publicly available data on Medicaid enrollment, renewal, and disenrollment makes it difficult to understand exactly who is losing Medicaid coverage and for what reasons. Publishing timely data in an easy-to-digest, visually appealing way would help improve the transparency, accountability, and equity of the Medicaid program. This expert perspective lays out a set of priority measures that states can incorporate over time into a data dashboard to track Medicaid enrollment following the end of the continuous coverage requirement. For a detailed discussion of the current status of Medicaid enrollment and retention data collection and best practices when developing a data dashboard to display this type of information, SHVS has published a companion issue brief.
Developing a Social Risk Factor Screening Measure
Justine Zayhowski, Kate Reinhalter Bazinsky, and Michael Bailit, Bailit Health
State Medicaid agency interest in the impact of social determinants of health on the health status of Medicaid enrollees has surged in recent years. States have begun to stipulate performance requirements of their contracted managed care organizations and accountable care organizations to identify and mitigate social risk factors affecting individual members. To aid the identification process, some states have begun to recommend—and sometimes require—their contractors perform social risk factor screens.
This issue brief is designed as a resource for states looking to adopt a measure to assess social risk factor screening rates. It is the result of a series of convenings that the authors facilitated with three states—Massachusetts, Oregon, and Rhode Island—which helped them consider, discuss, and share perspectives related to the development of their own social risk factor screening process measures. The issue brief looks at the progress these states and North Carolina have made in developing their own social risk factor screening measures and highlights considerations for other states either planning to adopt an existing or develop a new screening measure.
As a companion to this issue brief, State Health and Value Strategies is hosting a webinar series that will profile the findings from this issue brief, and another issue brief Social Risk Factor Screening in Medicaid Managed Care.