Medicaid Unwinding Led to Millions Losing Coverage but Modest Increases in Uninsurance, Study Finds

HMP Global October 31, 2025
Grace Taylor, MS, MA

The end of Medicaid’s continuous coverage provision—initiated in April 2023 after 3 years of pandemic protections—resulted in more than 25 million disenrollments nationwide, according to a new cross-sectional study analyzing federal and state data. Despite the massive scale of coverage terminations, the overall uninsurance rate showed only modest changes, suggesting that many individuals were able to reenroll in Medicaid or transition to other forms of coverage.

Using administrative data from the US Centers for Medicare & Medicaid Services (CMS) and self-reported survey data from the National Health Insurance Survey between 2019 and 2023, researchers assessed state-by-state differences in disenrollment, demographic trends, and new application patterns. The study analyzed data collected through April 2024 and evaluated outcomes from November 2024 through...

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