Taking Action to Reduce Medicaid Churn and Keep People Continuously Enrolled in Coverage

Commonwealth Fund July 3, 2024
MaryBeth Musumeci

TOPLINES

New federal regulations seek to reduce Medicaid enrollment “churn” by requiring states to simplify renewal for enrollees who qualify based on old age or disability

Nearly 70 percent of Medicaid disenrollments in the past year have been attributed to administrative errors

Medicaid enrollment churn — which occurs when people lose coverage and later reenroll — can result in people forgoing necessary medications or recommended preventive care and in interrupted continuity of care for chronic illnesses. Enrollees are at risk of churn during regular coverage renewals, when states review eligibility, and during redeterminations, when states review changes in circumstances that may affect eligibility between renewals. The Affordable Care Act (ACA) aimed to reduce churn, and research has found that the...

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