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.
How States Can Use Measurement as a Foundation for Tackling Health Disparities in Medicaid Managed Care
Kate Reinhalter Bazinsky and Michael Bailit, Bailit Health
Many people in America face segregation, social exclusion, encounters with prejudice, and unequal access and treatment by the health care system, all of which can impact health. Medicaid programs serve a disproportionate share of populations that are negatively impacted by health disparities. This new State Health and Value Strategies (SHVS) issue brief provides examples from a handful of states that have begun the work of identifying, evaluating, and reducing health disparities within their Medicaid managed care programs. Additionally, it offers an approach for other states interested in measuring disparities in health care quality in Medicaid managed care as a step towards achieving health equity, such that all Medicaid managed care enrollees have a fair and just opportunity to be as healthy as possible.
The companion State Health Policy Highlight, A Roadmap for Using Measurement to Address Health Disparities in Medicaid Managed Care, provides an overview of the step-by-step approach for states interested in measuring disparities in health care quality within Medicaid managed care.
As a reminder, SHVS is convening a series of webinars on advancing health equity through Medicaid managed care organizations. This five-part series will assist states interested in addressing disparities in health outcomes among Medicaid managed care beneficiaries as a step towards achieving health equity. On Thursday, June 20 at 2:00 p.m. ET SHVS (register here, required) will host the first webinar in the series, Advancing Health Equity in Medicaid Managed Care: An Introduction for States. This webinar will review the foundational principles of health equity, barriers to its realization, and the impact of health disparities.