Here are the 8 states where Medicaid disenrollments far exceeded projections

Two new studies released Thursday shed new light on how states are handling the Medicaid unwinding process for adults and children.

Using monthly enrollment reports, a Robert Wood Johnson Foundation-funded Urban Institute report found Medicaid and Children’s Health Insurance Program (CHIP) enrollment declined by 9 million people from April through November 2023. Although this is on pace with previous Urban Institute projections, different states are seeing drastically different impacts.

Eight states had Medicaid disenrollments exceeding 100% of the think tank’s projected net disenrollments. Those eight states are Arkansas, Idaho, Iowa, Montana, New Hampshire, Oklahoma, South Dakota and Texas.

Children unenrolled at a far higher clip than adults nationwide, meeting 84.2% of the Urban Institute’s prior projections. This was driven by 12 states: Alabama, Arkansas, Colorado, Florida, Georgia, Idaho, Iowa, Mississippi, Montana, Oklahoma, South Dakota and Texas.

“As of November 2023, some states had disenrolled more people than we had projected for the entire unwinding, suggesting that overall disenrollment could be even greater than anticipated,” the authors said in the report.

They found states that completed redeterminations in less than 12 months and obtained fewer federal waivers were more likely to perform worse than other states.

Source: Here are the 8 states where Medicaid disenrollments far exceeded projections / Fierce Healthcare

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