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.
Marketplace Enrollee Survey Item Matrix – Sample Questions
State Health Access Data Assistance Center
As those interested in conducting surveys to measure the public’s participation and experience in health insurance marketplaces under the Affordable Care Act (ACA) continue to investigate the most effective ways of doing so, access to questions utilized in previously conducted surveys will be very useful. The Marketplace Enrollee Survey Item Matrix (MESIM) was developed by the State Health Access Data Assistance Center (SHADAC) in order to gather these questions in one convenient document. The MESIM is an Excel file with sort and filter functions that allow users to browse or search for pre-existing survey questions related to marketplace use and enrollment. The 246 included questions are drawn from various state, federal, and private surveys, and are organized by domain. The domains include access and provider supply, application pathway, barriers to care, coverage type, health coverage literacy, motivation to enroll, perceptions of quality/satisfaction, reasons for transitions/motivation to enroll, and reasons for uninsurance/intent to enroll among the uninsured.