Continuous Coverage Protections in Families First Act Prevent Coverage Gaps by Reducing “Churn”
End Notes
[1] See, for example, Chris Jacobs, “How Congress’ Coronavirus Legislation Could See Millionaires on Medicaid,” April 27, 2020, https://chrisjacobshc.com/2020/04/27/how-congress-coronavirus-legislation-could-see-millionaires-on-medicaid/; and Jonathan Ingram and Nicholas Horton, “States are about to be hit by a Medicaid Tidal Wave,” Foundation for Government Accountability, June 10, 2020, https://thefga.org/research/covid-19-medicaid/, an analysis that projects very large Medicaid enrollment increases based on an unexplained “proprietary” model.
[2] Tricia Brooks et al., “Medicaid and CHIP Eligibility, Enrollment, and Cost Sharing Policies as of January 2020: Findings from a 50-State Survey,” Kaiser Family Foundation, March 26, 2020, https://www.kff.org/medicaid/report/medicaid-and-chip-eligibility-enrollment-and-cost-sharing-policies-as-of-january-2020-findings-from-a-50-state-survey/.
[3] Centers for Medicare & Medicaid Services, “Continuous Eligibility for Medicaid and CHIP Coverage,” https://www.medicaid.gov/medicaid/enrollment-strategies/continuous-eligibility-medicaid-and-chip-coverage/index.html.
[4] Medicaid and CHIP Payment and Access Commission, “Eligibility Issues in Medicaid and CHIP: Interactions with the ACA,” March 2013, https://www.macpac.gov/wp-content/uploads/2013/03/Eligibility-Issues-in-Medicaid-and-CHIP-Interactions-with-the-ACA.pdf.
[5] Leighton Ku and Erin Brantley, “Continuous Medicaid Eligibility for Children and Their Health,” Milken Institute School of Public Health, May 2020, https://www.communityplans.net/wp-content/uploads/2020/06/GW-continuous-eligibility-paper.pdf.
[6] Georgetown Center for Children and Families, “Program Design Snapshot: 12-Month Continuous Eligibility,” March 2009, http://ccf.georgetown.edu/wp-content/uploads/2012/03/CE-program-snapshot.pdf.
[7] Ku and Brantley, op. cit.
[8] Samantha Artiga and Olivia Pham, “Recent Medicaid/CHP Enrollment Declines and Barriers to Maintaining Coverage,” Kaiser Family Foundation, September 24, 2019, https://www.kff.org/medicaid/issue-brief/recent-medicaid-chip-enrollment-declines-and-barriers-to-maintaining-coverage/.
[9] Anna L. Goldman and Benjamin D. Sommers, “Among Low-Income Adults Enrolled in Medicaid, Churning Decreased After the Affordable Care Act,” Health Affairs, January 2020, https://www.healthaffairs.org/doi/10.1377/hlthaff.2019.00378.
[10] Brynne Keith-Jennings and Raheem Chaudhry, “Most Working-Age SNAP Participants Work, But Often in Unstable Jobs,” Center on Budget and Policy Priorities, March 15, 2018, https://www.cbpp.org/research/food-assistance/most-working-age-snap-participants-work-but-often-in-unstable-jobs.
[11] Aviva Aron-Dine, Raheem Chaudhry, and Matt Broaddus, “Many Working People Could Lose Health Coverage Due to Medicaid Work Requirements,” Center on Budget and Policy Priorities, April 11, 2018, https://www.cbpp.org/research/health/many-working-people-could-lose-health-coverage-due-to-medicaid-work-requirements.
[12] Anna L. Goldman and Benjamin D. Sommers, “Among Low-Income Adults Enrolled In Medicaid, Churning Decreased After The Affordable Care Act,” Health Affairs, January 2020, https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2019.00378.
[13] Kay Johnson, Sara Rosenbaum, and Morgan Handley, “The Next Steps to Advance Maternal and Child Health in Medicaid: Filling Gaps in Postpartum Coverage and Newborn Enrollment,” Health Affairs, January 9, 2020, https://www.healthaffairs.org/do/10.1377/hblog20191230.967912/full/.
[14] Prior to the ACA’s Medicaid expansion, more than 42 percent of young adults aging out of Medicaid or CHIP became uninsured. “Aging Out of Medicaid: What Is the Risk of Becoming Uninsured?” Kaiser Family Foundation, March 2010, https://www.kff.org/wp-content/uploads/2013/01/8057.pdf.
[15] Jacobs; Ingram and Horton, op. cit.
[16] John Cheves, “Nearly 1 in 3 Kentuckians are enrolled in Medicaid as COVID-19 recession ends jobs,” Lexington Herald-Leader, July 7, 2020, https://www.kentucky.com/news/coronavirus/article244050667.html; Kate Masters, “Virginia sees historic Medicaid enrollment during COVID-19 pandemic,” Virginia Mercury, June 30, 2020, https://www.virginiamercury.com/2020/06/30/virginia-sees-historic-medicaid-enrollment-during-covid-19-pandemic/; Andy Miller, “Pandemic leads to surge in Medicaid enrollment,” Albany [GA] Herald, June 15, 2020, https://www.albanyherald.com/news/pandemic-leads-to-surge-in-medicaid-enrollment/article_429df566-af2d-11ea-bd6c-f7947c007df0.html; Nina Feldman, “Public health insurance claims soar in Pa., N.J. and Del.,” WHYY, May 25, 2020, https://whyy.org/articles/public-health-insurance-claims-soar-in-pa-n-j-and-del/.
[17] California Department of Health Care Services, “Medi-Cal May 2020 Local Assistance Estimate for Fiscal Years 2019-20 and 2020-21,” https://www.dhcs.ca.gov/dataandstats/reports/mcestimates/Documents/2020_May_Estimate/M2099-Medi-Cal-Local-Assistance-Estimate.pdf.
[18] “Montana Health and Economic Livelihood Partnership (HELP) Program Demonstration,” Special Terms and Conditions, December 20, 2017, https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/mt/mt-HELP-program-ca.pdf.
[19] Benjamin D. Sommers et al., “Insurance Churning Rates For Low-Income Adults Under Health Reform: Lower Than Expected But Still Harmful For Many,” Health Affairs, October 2016, https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2016.0455.
[20] Anthem Public Policy Institute, “Continuity of Medicaid Coverage Improves Outcomes for Beneficiaries and States,” June 2018, https://www.communityplans.net/wp-content/uploads/2019/04/13_Report_Continuity-of-Medicaid-Coverage-Improves-Outcomes-for-Beneficiaries-and-States.pdf.
[21] Katherine Swartz et al., “Reducing Medicaid Churning: Extending Eligibility For Twelve Months Or To End Of Calendar Year Is Most Effective,” Health Affairs, July 2015, https://www.healthaffairs.org/doi/10.1377/hlthaff.2014.1204; Andy Allison et al., “Reducing lapses in healthcare coverage in the Individual and Medicaid markets,” McKinsey & Company, March 2019, https://healthcare.mckinsey.com/wp-content/uploads/2020/02/Reducing-lapses-in-healthcare-coverage-in-the-Individual-and-Medicaid-markets.pdf.
[22] Jennifer Wagner, “Medicaid Agencies Should Prioritize New Applications, Continuity of Coverage During COVID-19 Emergency,” Center on Budget and Policy Priorities, March 19, 2020, https://www.cbpp.org/blog/medicaid-agencies-should-prioritize-new-applications-continuity-of-coverage-during-covid-19.