Medicaid Redetermination and Renewal Experiences of Limited English Proficient Beneficiaries in Illinois

Mirza, Mansha; Harrison, Elizabeth A.; Quiñones, Luvia; Kim, Hajwa

doi:10.1007/s10903-021-01178-8

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…In line with our findings, existing studies also show that individuals with limited English proficiency face higher risks of losing Medicaid during the renewal process compared with their English-proficient counterparts. 15,16 Given that people of color are more often limited in English proficiency compared with White individuals, this challenge can exacerbate existing racial and ethnic enrollment disparities.…”

Section: Discussionmentioning

confidence: 99%

“…Next, we calculated annual unadjusted and adjusted rate of Medicaid disenrollment among dual-eligibles, including both the overall disenrollment rate and the disenrollment rates stratified by dual-eligibility status, age group, gender, race and ethnicity, original reason for Medicare entitlement, as well as TM and MA plan type. Race and ethnicity were defined using the Research Triangle Institute race code variable, and were analyzed given the known administrative barriers of maintaining Medicaid coverage for people of color . To estimate the unadjusted rate of Medicaid disenrollment in each year, among those dually eligible in January of that year, we calculated the proportion of beneficiaries who had completely lost their Medicaid coverage (ie, not qualifying for any Medicaid benefits) for at least 1 month at any point during the remainder of that year.…”

Section: Methodsmentioning

confidence: 99%

“…Race and ethnicity were defined using the Research Triangle Institute race code variable, 14 and were analyzed given the known administrative barriers of maintaining Medicaid coverage for people of color. 15,16 To estimate the unadjusted rate of Medicaid disenrollment in each year, among those dually eligible in January of that year, we calculated the proportion of beneficiaries who had completely lost their Medicaid coverage (ie, not qualifying for any Medicaid benefits) for at least 1 month at any point during the remainder of that year.…”

Section: Statistical Analysesmentioning

confidence: 99%

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Medicaid Eligibility Loss Among Dual-Eligible Beneficiaries Before and During COVID-19 Public Health Emergency

Ma,

Roberts,

Johnston

et al. 2024

JAMA Netw Open

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ImportanceMedicaid coverage loss can substantially compromise access to and affordability of health care for dual-eligible beneficiaries. The extent to which this population lost Medicaid coverage before and during the COVID-19 public health emergency (PHE) and the characteristics of beneficiaries more at risk for coverage loss are currently not well known.ObjectiveTo assess the loss of Medicaid coverage among dual-eligible beneficiaries before and during the first year of the PHE, and to examine beneficiary-level and plan-level factors associated with heightened likelihood of losing Medicaid.Design, Setting, and ParticipantsThis repeated cross-sectional study used national Medicare data to estimate annual rates of Medicaid loss among dual-eligible beneficiaries before (2015 to 2019) and during the PHE (2020). Individuals who were dual eligible for Medicare and Medicaid at the beginning of a given year and who continuously received low-income subsidies for Medicare Part D prescription drug coverage were included in the sample. Multivariable regression models were used to examine beneficiary-level and plan-level factors associated with Medicaid loss. Data analyses were conducted between March 2023 and October 2023.ExposureOnset of PHE.Main Outcomes and MeasuresLoss of Medicaid for at least 1 month within a year.ResultsSample included 56 172 736 dual-eligible beneficiary-years between 2015 and 2020. In 2020, most dual-eligible beneficiaries were aged over 65 years (5 984 420 [61.1%]), female (5 868 866 [59.9%]), non-Hispanic White (4 928 035 [50.3%]), full-benefit eligible (6 837 815 [69.8%]), and enrolled in traditional Medicare (5 343 537 [54.6%]). The adjusted proportion of dual-eligible beneficiaries losing Medicaid for at least 1 month increased from 6.6% in 2015 to 7.3% in 2019 and then dropped to 2.3% in 2020. Between 2015 and 2019, dual-eligible beneficiaries who were older (ages 55-64 years: −1.4%; 95% CI, −1.8% to −1.0%; ages 65-74 years: −2.0%; 95% CI, −2.5% to −1.5%; ages 75 and older: −4.5%; 95% CI, −5.0% to −4.0%), disabled (−0.8%; 95% CI, −1.1% to −0.6%), and in integrated care programs were less likely to lose Medicaid. In 2020, the disparities within each of these demographic groups narrowed significantly. Notably, while Black (0.6%; 95% CI, 0.2% to 0.9%) and Hispanic (0.7%; 95% CI, 0.3% to 1.2%) dual-eligible beneficiaries were more likely to lose Medicaid than their non-Hispanic White counterparts between 2015 and 2019, such gap was eliminated for Black beneficiaries and narrowed for Hispanic beneficiaries in 2020.Conclusions and RelevanceDuring the PHE, Medicaid coverage loss declined significantly among dual-eligible beneficiaries, and disparities were mitigated across subgroups. As the PHE unwinds, it is crucial for policymakers to implement strategies to minimize Medicaid coverage disruptions and racial and ethnic disparities, especially given that loss of Medicaid was slightly increasing over time before the PHE.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Statistical Analysesmentioning

confidence: 99%

See 1 more Smart Citation

Medicaid Eligibility Loss Among Dual-Eligible Beneficiaries Before and During COVID-19 Public Health Emergency

Ma,

Roberts,

Johnston

et al. 2024

JAMA Netw Open

View full text Add to dashboard Cite

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Navigating Healthcare and Public Benefits in NC: Perspectives of Undocumented Latina Women with U.S.-Born Children

Raffa,

Higgins,

Montiel

et al. 2024

Preprint

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Background and Objectives: Mixed documentation status Latino families face unique barriers to accessing healthcare and public benefits. We examined the experiences of undocumented Latina mothers in North Carolina and the role of anti-immigrant policies and rhetoric in their decisions to access care and public benefits for themselves and their U.S. born infants. Methods We conducted a qualitative descriptive study to describe Latina mothers’ experiences seeking care for themselves and their infants during the perinatal period. We used emergency Medicaid at delivery as a proxy to identify undocumented mothers with U.S. born infants. Twenty semi-structured audio interviews were conducted in Spanish via Zoom. We used rapid qualitative content analysis for timely, action-oriented analysis. Rapid qualitative analysis uses visual displays, such as matrices, to connect and analyze findings. Results Five themes emerged: Confusion around public benefit eligibility and complicated enrollment processes; Fears around Supplemental Nutrition Assistance Program (SNAP); Cost as the most influential barrier to healthcare; Positive experiences with language support and respectfulness of providers; “Making it work” with the help of social support systems. Conclusions Postpartum undocumented mothers of US-born children experience several barriers to NC Medicaid and public benefit enrollment, including complicated application processes, costs, and immigration-related fear. Further research and policy advocacy is needed to assess how to improve enrollment rates and provide education on eligibility for families during the postpartum period.

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A Methodology for Using Large Language Models to Create User-Friendly Applications for Medicaid Redetermination and Other Social Services

Ratna,

Weeks,

Ferres

et al. 2024

Int J Public Health

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Medicaid Redetermination and Renewal Experiences of Limited English Proficient Beneficiaries in Illinois

Cited by 3 publications

References 14 publications

Medicaid Eligibility Loss Among Dual-Eligible Beneficiaries Before and During COVID-19 Public Health Emergency

Medicaid Eligibility Loss Among Dual-Eligible Beneficiaries Before and During COVID-19 Public Health Emergency

Navigating Healthcare and Public Benefits in NC: Perspectives of Undocumented Latina Women with U.S.-Born Children

A Methodology for Using Large Language Models to Create User-Friendly Applications for Medicaid Redetermination and Other Social Services

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