Expert Perspectives

Jun 2, 2023 

Communications Recommendations for Medicaid Agencies to Help Identify and Report Scams

As states continue the unwinding of the Medicaid continuous coverage requirement and redetermining their enrollees, states across the country have reported scams asking consumers for financial or personal information are prevalent. This expert perspective provides recommendations on what state communications and digital teams can do to mitigate online scams and protect official sources of information.

May 12, 2023 

Sequencing Communications to Encourage Coverage Transitions

The unwinding of the Medicaid continuous coverage requirement represents the largest nationwide coverage transition since the Affordable Care Act. This presents State-Based Marketplaces with an opportunity to target outreach efforts to those audiences who have recently lost Medicaid or CHIP to help eligible individuals retain access to affordable healthcare through the Marketplace. This expert perspective focuses on best practices for timing and strategy in consumer outreach to consumers that are no longer eligible for Medicaid to help states develop a consumer “chase campaign.”

May 8, 2023 

CMS Proposes Significant Medicaid Policy Changes for Access Monitoring, Managed Care, and HCBS

On Thursday, April 27, CMS released two highly anticipated proposed rules. The first, which focuses on managed care delivery systems, is titled “Managed Care Access, Finance, and Quality.” The second proposed rule, which focuses on fee-for-service delivery systems and program improvements for home and community-based services across delivery systems, is titled “Ensuring Access to Medicaid Services.” Together, these would reshape the federal regulatory landscape for Medicaid and CHIP, particularly with respect to standards for ensuring access to care, transparency and oversight of provider payment rates, engagement of people enrolled in Medicaid, quality measurement, and program accountability. This expert perspective outlines the key provisions in each of the proposed rules.