Churning expected to worsen after the Medicaid expansion

May 2011
State Health Watch;May2011, Vol. 18 Issue 5, p9
The article reports that churning is expected to worsen after expansion of U.S. Medicaid program. Churning means an individual goes from being Medicaid to being uninsured, then back on Medicaid, which is costly in terms of administrative expense to deal with enrollment paperwork. The risk is if plans and provider networks differ, people may lose benefits. Changing to a 12-month eligibility is an approach to reduce churning. States should consider incentives for health plans to participate in Medicaid and exchange markets using similar benefit designs.


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