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.
State Medicaid Financing Fact Sheets
As states seek to understand the impacts of proposed changes to Medicaid financing, comparative data on where states stand can be very valuable. The memos included here use state-specific data to analyze the impact of proposals to limit federal Medicaid funding on all 50 states and the District of Columbia. The state data are drawn from a tool kit prepared by Manatt Health for the Robert Wood Johnson’s State Health Reform Assistance Network. While the most recent attempt to cap federal Medicaid funding in the American Health Care Act did not advance to a vote in the Congress, it is likely that this issue will remain a priority for Congressional leadership. And, future capped funding proposals can be expected to rely on historic state-specific spending patterns and national trend rates as earlier proposals did. These memos are intended to assist states in evaluating how they might fare relative to other states under a capped funding model considering the unique features of each state’s health care landscape.