On January 23, 2023, the Federal Communications Commission issued an important ruling that provides states with new flexibility to support enrollee outreach and communication efforts as part of their processes to unwind the Medicaid continuous coverage requirement. The ruling permits state agencies and their partners to send text messages and make phone calls to individuals about enrollment-related issues not only for Medicaid but for other state-run health insurance programs, including marketplace coverage. This expert perspective reviews the ruling and implications for states.
States Expanding Medicaid See Significant Budget Savings and Revenue Gains
Deborah Bachrach, Patricia Boozang, Avi Herring, and Dori Glanz Reyneri, Manatt Health
In addition to the impact that state decisions to expand Medicaid have had on coverage rates across the country, there is an increasing body of evidence showing consistent economic benefits among these states. This report, prepared by Manatt Health, is an update to an April 2015 State Network report, and examines data regarding Medicaid expansion in eleven states, demonstrating that states continue to realize budget savings and revenue gains as a result of expanding Medicaid. Savings and increased revenue in expansion states fall into three major categories, including state savings from accessing enhanced federal matching funds, state savings from replacing general funds with Medicaid funds, and revenue gains through assessments or fees on providers and/or health plans. Previous reports in this ongoing series are available here.