WASHINGTON (PRWEB) April 29, 2023 -- The Population Health Alliance and Sellers Dorsey have published a compelling new issue brief which examines the Medicaid Redetermination and the critical importance of Continuous Medicaid eligibility, which has been in place since the Families First Coronavirus Response Act (FFCRA) of 2020. The organizations have engaged leaders in the field from their respective organizations to comprehensively examine not only the impact FFCRA has had impact on Medicaid enrollment, but also ways the ending continuous eligibility may impact the redetermination process.
“This is an unprecedented time for Medicaid and the organizations that support this vital program. It is in all stakeholders’ interest to assure continuity of coverage and care, avoiding unnecessary increases in cost and poor outcomes for this vulnerable population,” states Bill Lucia, PHA Board Director and Chair of PHA’s Medicaid Continuity & Quality Workgroup, which spearheaded the effort alongside Co-Chair, Leesa Allen, for the multi-stakeholder professional and trade association solely focused on population health management.
The 14-page report, entitled Medicaid Redetermination Getting it Right to Optimize Continuity and Care Outcomes, is a collaborative effort between the Population Health Alliance (PHA) and Sellers Dorsey. The newly released report summarizes the background of continuous eligibility, the predicted impacts to ending it, and opportunities for states, managed care organizations (MCOs), providers, and community-based organizations (CBOs) to assist individuals during this time of transition.
“Medicaid agencies have begun the challenging task of redetermining eligibility for over 90 million individuals who are now covered under the Medicaid program. A significant number may no longer qualify for Medicaid and the effects of this will be far reaching and be felt across the health and human services sector,” explains Leesa Allen, Co-Chair of PHA’s Medicaid Workgroup, Managing Director of Sellers Dorsey and Former State Medicaid Director. The issue brief presents key points for consideration by state and federal stakeholders, as well as insurers in order to mitigate any risk related to loss or reduction of coverage related to disruption of Medicaid benefits.
Preliminary studies have indicated that many individuals may lose coverage or experience a reduction in benefits, as a result of potential challenges with the eligibility redetermination process. The new issue brief examines this scenario from the perspective of. a population health management approach that embraces collaboration between multiple stakeholders. This timely and critical analysis is an important planning resource for MCO’s, state leaders, healthcare providers, community-based organizations and other stakeholders with a significant commitment to population health.
The report was developed by the Population Health Alliance Member Medicaid Continuity & Quality Workgroup with the support of Sellers Dorsey and is available here for immediate download. Additionally, the organizations will host a free webinar to review the findings addressed in the issue brief and discuss Medicaid Redetermination and the Optimization of Continuity of Care Outcomes on Thursday, May 11 at 1:00pm ET. Registration and details are available here.
About Population Health Alliance
The Population Health Alliance (PHA) is a corporate 501(c) 6 nonprofit organization established in 1998. PHA is the industry’s only multi-stakeholder professional and trade association solely focused on population health management, representing stakeholders from across the health care ecosystem that seek to improve health outcomes, optimize the consumer and provider experience education and quality improvement and research, the Population Health Alliance has led a network of members and partners in raising the importance and value of the PHA Population Health Management Framework and resultant models as a key component of health care transformation. We believe a healthcare system that systematically, and through ongoing innovation, applies the principles of population health improvement will achieve measurably better health outcomes for all individuals and populations. Learn more at PopulationHealthAlliance.org
About Sellers Dorsey
Established in 2000, Sellers Dorsey is a leading health care consulting firm with deep expertise in Medicaid financing, policy, and operations. With projects and clients spanning the Medicaid continuum, Sellers Dorsey helps its partners realize opportunities to enhance people’s lives. With experience in more than 40 states, they provide a fully integrated suite of services to a wide array of clients. Leveraging a team of former state and federal policy officials, state Medicaid directors, health care executives, and other professionals, they provide a breadth of expertise, practical experience, and creative problem solving. Learn more at sellersdorsey.com
Jennifer Arigo, Population Health Alliance, https://populationhealthalliance.org, 1 202-737-5476, [email protected]
SOURCE Population Health Alliance