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.
Webinar: Considerations for 2016 Health Insurance Rate Development, Filing and Review
Ken Ehresmann and Julia Lerche, Wakely Consulting Group
For the first time, many issuers will have a full year of claims experience upon which to base their ACA rates for 2016. Though there will continue to be some unknowns, such as the final 2014 risk adjustment transfers and the health status of those who continue to take up insurance, the availability of 2014 claims data will change the way rates are developed and reviewed for 2016. This webinar explored the considerations for 2016 rate development, filing and review based on a compilation of CMS regulations and guidance as well as insights from Wakely Consulting Group Actuaries.
The webinar examined these and other changes that will impact 2016 rate filings and rate review, including changes announced in the 2016 Notice of Benefit and Payment Parameters, the 2016 Issuer Letter, and QHP and Unified Rate Review templates and instructions. It also included a discussion of the new requirements for Effective Rate Review programs related to public disclosure of rate filings.
The webinar slides can be found at the “download” button and a webinar recording can be found here.