Millions Left Uninsured As States Redetermined Medicaid Eligibility
As reported by Stat, more than 27 million people had no form of health insurance as of March 2024, compared with more than 25 million people at the same time in 2023, the CDC reported Tuesday.
The national uninsured rate rose from 7.7% to 8.2% earlier this year, a result of states booting millions of Americans from their state Medicaid programs, according to new data from the Centers for Disease Control and Prevention. (Herman, 8/6)
Texas is home to the country's largest share of Americans under 65 without health insurance, according to new Census Bureau data, with 18.8% of residents uninsured as of 2022. That's a big improvement over 2006, when 27.6% of Texans were uninsured 鈥 but still nearly double the national uninsured rate of 9.5%. (Fitzpatrick and Beheraj, 8/6)
1.6 million more people lost health coverage in the first quarter of this year as states continued to cut their Medicaid rolls and unemployment ticked up, according to preliminary Centers for Disease Control and Prevention data. (Goldman, 8/6)
As pandemic-era protections end, Maine has managed to keep almost 70 percent of people formerly relying on state healthcare on Medicaid, a rate better than the national average and many other states. More than 300,000 Mainers have renewed their MaineCare coverage so far, according to the Maine Department of Health and Human Services. MaineCare is the state鈥檚 name for federal Medicaid, which provides health coverage to millions of low-income adults, children, pregnant individuals, elderly adults and people with disabilities. (Pendharkar, 8/5)
Medicaid news from Minnesota, Indiana, Oklahoma, and New Mexico 鈥
UnitedHealthcare has filed a lawsuit challenging a new state law that bars for-profit HMOs from running Medicaid health plans. The measure, which takes effect next year, was part of a massive omnibus bill passed on the last day of the legislative session in May. It covered topics ranging from higher education and traffic cameras to veterinary licensure and power plant emissions and thereby violates the 鈥渟ingle subject clause鈥 of the state Constitution, according to the company鈥檚 complaint filed in Hennepin County District Court. (Snowbeck, 8/5)
Mulugeta Wolfe, 24, is one of the hundreds of thousands of people on Medicaid in Indiana. Specifically, Wolfe is part of Indiana鈥檚 Medicaid expansion program, called the Healthy Indiana Plan, or HIP. The program covers non-disabled adults between the ages of 19 and 64. Wolfe enrolled earlier this summer and in May, he received mail from the state that explained he would have to make a monthly, income-based payment 鈥 like a premium 鈥 starting in July to keep his coverage. Those premiums are commonly referred to as POWER account contributions. (Thorp and Rhuman, 8/6)
Billing issues are causing major concerns for some healthcare providers. It comes after the state switched to SoonerSelect earlier this year. 鈥淥ur providers are stressed,鈥 said Therapeutic Life Choices Clinical Director Tiara Delonia. Delonia said since the state switched to SoonerSelect in April, contracting with 3 insurance agencies, Aetna Better Health of Oklahoma, Humana Healthy Horizons of Oklahoma, and Oklahoma Complete Health, they鈥檝e seen multiple issues. 鈥淲e still have a lot of money that we haven鈥檛 received for our providers just for the services they鈥檝e been providing,鈥 said Delonia. (Keit, 8/5)
Nobody gets out of jail free, but one effort underway in New Mexico would make it possible to get out with health insurance. A plan to start reactivating inmates鈥 Medicaid benefits while they鈥檙e still behind bars 鈥 a move state leaders say will help stop New Mexicans from falling into the medical and behavioral health care gap upon release 鈥 scored an initial victory last month after the federal government signed off on the concept. (Porter, 8/5)
In related news 鈥
A recent study revealed Medicaid enrollees struggle to receive psychiatric care.1 The largest Medicaid-managed care plans across 4 US cities only had 17.8% of psychiatrists or mental health professionals listed as in-network for Medicaid who were reachable, accepted Medicaid, and could provide a new patient appointment. (Derman, 8/5)
Health plan costs in the first three months after diagnosis with type 1 diabetes were more than 2.5 times higher in children with a commercial health plan than in patients with Medicaid, finds a new study. In this study, which was conducted by Sanofi, researchers found that patients in Medicaid plans had higher emergency room visits for hypoglycemia compared with those with commercial plans. Additionally, researchers saw higher rates of comorbidities in children with the Medicaid health plans and less use of continuous glucose monitoring and insulin pumps. (Myshko, 8/5)