Expert Perspectives

Jan 18, 2024 

Rapid Message Test Insights to Inform 2024 Medicaid Renewal Messaging

State Medicaid agencies and their partners have been executing communications campaigns focused on Medicaid renewals for almost a year. In the closing months of unwinding, states have an opportunity to apply lessons learned and fine-tune messaging to maximize communications. SHVS conducted a rapid message test to gauge the persuasiveness of message themes to inform final unwinding communications, with the intention that these findings will continue to be useful as states return to routine renewal operations beyond the unwinding. This expert perspective highlights findings from the rapid message test and includes recommendations for states to refine or develop effective communications campaigns.

Jan 17, 2024 

States’ Reporting of Medicaid Unwinding Reinstatement Data

During the unwinding of the Medicaid continuous coverage requirement there has been a strong focus on monitoring the impacts of eligibility redeterminations. A review of public unwinding data identified 11 states that are voluntarily reporting Medicaid reinstatement data—including reinstatements as a result of CMS guidance on conducting ex parte at the individual level, as a result of fair hearing cases, or re-enrollment into Medicaid and the Children’s Health Insurance Program within the 90-day reconsideration period. This expert perspective reviews current state reporting of reinstatement data and provides recommendations for the reporting of such data.

Jan 11, 2024 

State Reporting to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

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, 47 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.

Jan 11, 2024 

State-Based Marketplace Transition Data During the Unwinding

Given the potential to reduce coverage losses during the unwinding, there is intense interest in data that monitors transitions between Medicaid and Marketplace coverage. State-Based Marketplaces (SBMs) that operate their own eligibility platform should consider releasing available data on Marketplace transition outcomes. This expert perspective includes an interactive map with links to SBMs reporting Marketplace transitions, a table of the indicators that states are reporting on, and select data highlights. The expert perspective also highlights recommendations for SBMs when presenting unwinding data, such as providing context and making the data easy to use. SHVS will continue to update this EP as more SBMs publish unwinding data.

Dec 29, 2023 

What’s New in State Approaches to Addressing Health-Related Social Needs in Medicaid Managed Care

States use a variety of approaches to encourage, require, and incentivize Medicaid managed care (MMC) entities to identify and address unmet social needs that can contribute to poor health outcomes, lower quality care, and higher medical expenditures. This expert perspective highlights updates to the Addressing Health-Related Social Needs Through Medicaid Managed Care toolkit which describes 8 different health-related social needs approaches across 20 state MMC programs.

Dec 22, 2023 

2023 in Review: Ten SHVS Resources We Recommend

This expert perspective highlights 10 resources published this year by State Health and Value Strategies that showcase the innovative and hard work states are engaged in to transform healthcare. While unwinding the Medicaid continuous coverage requirement has consumed much of states’ time and attention, states have also forged ahead with innovative efforts to expand coverage, improve care, meaningfully engage the diverse communities they serve, and advance health equity. This list of 10 SHVS resources celebrate what states have accomplished and highlight policy opportunities other states may look to for inspiration. 

Dec 22, 2023 

HHS and CMS Take Action to Preserve Coverage for Eligible Children

On December 18, 2023, the Centers for Medicare & Medicaid Services released a suite of Medicaid unwinding-related guidance and enrollment data that includes a focus on ensuring eligible children maintain Medicaid and Children’s Health Insurance Program coverage. This expert perspective reviews the children-specific resources and the broader unwinding-related resources included in this release.