As the unwinding of the Medicaid continuous coverage requirement continues, both states and the federal government are tracking and monitoring the impacts of the resumption of eligibility redeterminations and disenrollments. Given the time-lags and caveats of CMS data, many states are publishing their own state data dashboards. To date, 46 states (including the District of Columbia) have released unwinding data in either an interactive dashboard or static pdf format, or are making public their required CMS Monthly Unwinding Data reports. This expert perspective includes an interactive map with links to state reporting, as well as a table tracking the unwinding indicators and disaggregated data that states are reporting on. SHVS will continue to update this EP as more states publish their unwinding data.
Transformational Community Engagement to Advance Health Equity
Tekisha Dwan Everette, Dashni Sathasivam, and Karen Siegel, Health Equity Solutions
Within government, policy and programmatic changes are often made without engaging the people they will affect or the people currently experiencing the challenges of existing policies and programs. Inequities in COVID-19 mortality, morbidity, and vaccine distribution have underlined the historical legacies and contemporary realities of distrust of government and the failures of our health and social services systems to meet the needs of people of color. Community engagement is one of the ways states are attempting to establish and maintain trust and improve the accessibility and quality of services. This issue brief outlines the ways in which such efforts can improve communication, lead to more effective and efficient programs, and result in ongoing collaboration with people who have experienced state-run systems and services. The brief also contains a list of strategies and tactics, which offers options for states to consider when working to advance towards transformational community engagement and achieve their community engagement goals.
For more information on specific strategies states can employ to engage program enrollees, see the companion issue brief State Examples of Medicaid Community Engagement Strategies: Two Case Studies.