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Whitepaper

Navigating the 2023 Medicaid Redetermination Process

3 strategies to ensure continued member coverage

The 2023 Medicaid redetermination process is underway, posing significant challenges for states and healthcare organizations as they strive to maintain coverage for the millions of recipients enrolled in Medicaid. In this crucial whitepaper, we explore the complexities of the redetermination process and provide three strategic approaches to ensure continued member coverage.

As states work to complete this critical task within a year, it is crucial to address major roadblocks, including inaccurate member contact information, low awareness, vulnerable populations, and staffing shortages.

In this thought-provoking whitepaper, we delve into three powerful strategies to safeguard member coverage. Explore how data-driven member segmentation optimizes outreach, enabling tailored communication. Learn the importance of omnichannel member outreach to engage effectively across multiple channels. And discover how a holistic member experience approach strengthens the redetermination process by addressing individual needs.

Collaborating with customer experience experts can be a game-changer in overcoming the complexities of redetermination. By leveraging their healthcare domain knowledge and digital-first solutions, organizations can enhance communication, improve member responses, and mitigate unnecessary coverage loss.

With the potential to impact the health and stability of millions of Americans, health plans play a vital role in this effort. By providing clear information, accessible resources, and personalized support, they can ensure that no one falls through the cracks during redetermination.

Take a step towards securing continued coverage for Medicaid members. Download the whitepaper today and gain valuable insights, innovative strategies, and practical solutions to navigate the 2023 Medicaid redetermination process successfully. Together, let’s empower beneficiaries, build strong relationships, and improve health outcomes for all.

DOWNLOAD WHITEPAPER

Latest Whitepapers

Redefining Retail CX: Trends and insights for 2025

Resources

Whitepaper

Date

February 26, 2025

Download Whitepaper

Redefining Retail CX: Trends and insights for 2025

Redefining Retail CX: Trends and insights for 2025

Redefining Retail CX: Trends and insights for 2025

Resources

Whitepaper

Date

February 26, 2025

Download Whitepaper

Whitepaper

February 26, 2025

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q4 2024

Resources

Whitepaper

Date

December 18, 2024

Download Whitepaper

The U.S. healthcare industry is at a crossroads. The integration of technology, policy reforms, and patient-centered care will define the future of health delivery and access. Recognizing this inflection point, the HealthscapeRX Q4 report presents a thought-provoking analysis of how the sector could return to stability post-COVID-19.

Some of the questions unpacked in the report include,

1. How will health insurers manage the growing utilization of Part D, influenced by the CMS two-midnight rule?

2. What impact might potential reductions in direct provider payments from State Medicaid programs have on plan members?

3. Will the anticipated changes from the recent presidential election take immediate effect in 2025?

To find answers and access a perspective from Paul Mango, download HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q4 2024, today!

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q4 2024

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q4 2024

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q4 2024

Resources

Whitepaper

Date

December 18, 2024

Download Whitepaper

The U.S. healthcare industry is at a crossroads. The integration of technology, policy reforms, and patient-centered care will define the future of health delivery and access. Recognizing this inflection point, the HealthscapeRX Q4 report presents a thought-provoking analysis of how the sector could return to stability post-COVID-19.

Some of the questions unpacked in the report include,

1. How will health insurers manage the growing utilization of Part D, influenced by the CMS two-midnight rule?

2. What impact might potential reductions in direct provider payments from State Medicaid programs have on plan members?

3. Will the anticipated changes from the recent presidential election take immediate effect in 2025?

To find answers and access a perspective from Paul Mango, download HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q4 2024, today!

Whitepaper

December 18, 2024

Complaints Outlook 2024 Report

Resources

Whitepaper

Date

December 9, 2024

Download Whitepaper

Complaints Outlook 2024 Report

Complaints Outlook 2024 Report

Complaints Outlook 2024 Report

Resources

Whitepaper

Date

December 9, 2024

Download Whitepaper

Whitepaper

December 9, 2024

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q3 2024

Resources

Whitepaper

Date

September 25, 2024

Download Whitepaper

In the third quarter of 2024, the performance of large health systems and insurers largely mirrored what they experienced earlier in the second quarter. Most insurers are still grappling with high medical loss ratios (MLRs) in their Medicare Advantage plans, losing covered lives in Medicaid due to redeterminations, even while seeing growth in their group and Affordable Care Act (ACA) commercial books. Considering the significant impact the supplemental subsidies have had on the development of the ACA segment, most insurers are publicly advocating their extensions. An interesting aspect is how large national insurers are transforming themselves.

This quarter, the furor surrounding the changes in the Part D program offered by Medicare, rightfully requires special attention.

Read about this in greater detail in this highly anticipated Healthcare Trends: Third Quarter 2024 Update by Paul Mango. Review the latest changes in U.S. healthcare, Part D updates after the Inflation Reduction Act, and more.

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q3 2024

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q3 2024

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q3 2024

Resources

Whitepaper

Date

September 25, 2024

Download Whitepaper

In the third quarter of 2024, the performance of large health systems and insurers largely mirrored what they experienced earlier in the second quarter. Most insurers are still grappling with high medical loss ratios (MLRs) in their Medicare Advantage plans, losing covered lives in Medicaid due to redeterminations, even while seeing growth in their group and Affordable Care Act (ACA) commercial books. Considering the significant impact the supplemental subsidies have had on the development of the ACA segment, most insurers are publicly advocating their extensions. An interesting aspect is how large national insurers are transforming themselves.

This quarter, the furor surrounding the changes in the Part D program offered by Medicare, rightfully requires special attention.

Read about this in greater detail in this highly anticipated Healthcare Trends: Third Quarter 2024 Update by Paul Mango. Review the latest changes in U.S. healthcare, Part D updates after the Inflation Reduction Act, and more.

Whitepaper

September 25, 2024

Reimagining Customer Experience Management on Social Media

Resources

Whitepaper

Date

September 2, 2024

Download Whitepaper

Reimagining Customer Experience Management on Social Media

Reimagining Customer Experience Management on Social Media

Reimagining Customer Experience Management on Social Media

Resources

Whitepaper

Date

September 2, 2024

Download Whitepaper

Whitepaper

September 2, 2024

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q2 2024

Resources

Whitepaper

Date

June 13, 2024

Download Whitepaper

The second quarter of 2024 is marked by contrasts. While Medicare Advantage (MA) carriers faced increasing challenges, gains in the commercial group and individual segments balanced overall performance. The ACA marketplace significantly impacted insurers and providers this quarter, with current costs per enrollee in the exchanges being about three times the Congressional Budget Office's (CBO) initial estimates.

Our latest HealthscapeRX - Quarterly Trends Steering Healthcare Strategies, by Paul Mango, former Deputy Chief of Staff for Policy at HHS, explores three market and competitive dynamics: insurer growth in the commercial group and individual marketplace segments, the impact of the No Surprises Act, and the future of ACA marketplace participation.

As we conclude this quarter, we hope Paul Mangoโ€™s insights will help you fine-tune your strategies and enhance care in the rapidly evolving healthcare landscape.

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q2 2024

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q2 2024

HealthscapeRX: Quarterly Trends Steering Healthcare Strategies, Q2 2024

Resources

Whitepaper

Date

June 13, 2024

Download Whitepaper

The second quarter of 2024 is marked by contrasts. While Medicare Advantage (MA) carriers faced increasing challenges, gains in the commercial group and individual segments balanced overall performance. The ACA marketplace significantly impacted insurers and providers this quarter, with current costs per enrollee in the exchanges being about three times the Congressional Budget Office's (CBO) initial estimates.

Our latest HealthscapeRX - Quarterly Trends Steering Healthcare Strategies, by Paul Mango, former Deputy Chief of Staff for Policy at HHS, explores three market and competitive dynamics: insurer growth in the commercial group and individual marketplace segments, the impact of the No Surprises Act, and the future of ACA marketplace participation.

As we conclude this quarter, we hope Paul Mangoโ€™s insights will help you fine-tune your strategies and enhance care in the rapidly evolving healthcare landscape.

Whitepaper

June 13, 2024

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