Study reveals coverage gaps and health access challenges post-Medicaid unwinding

Harvard T.H. Chan School of Public HealthJun 29 2024 Chan School of Public Health.

We know from government statistics that, of the more than 90 million people whose health coverage was in jeopardy amid Medicaid unwinding, more than 23 million were removed from the program. But those statistics don't tell us what happened to those people, or why they lost coverage. Our study is one of the first to help answer those outstanding questions, using completely new data from an original multi-state survey." The study will be published June 29 in JAMA Health Forum.

Most survey respondents respondents reported that they and/or a dependent had been enrolled in Medicaid at some point since March 2020. Among adult respondents who had Medicaid, 12.5% reported that they had been disenrolled by fall 2023. State-specific adult disenrollment levels varied: 16% in Arkansas, 15% in Texas, 8% in Louisiana, and 7% in Kentucky.

"In prior research, even brief coverage gaps have been associated with care disruptions and negative health outcomes," said McIntyre. "Our findings suggest that state and federal policymakers should pursue policies to mitigate adverse outcomes associated with coverage disruptions-;not just during the Medicaid unwinding, but in the years to come, as issues related to eligibility redeterminations and continuity of coverage will remain relevant in Medicaid.

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