| Sumario: | The article focuses on the transition of former Medicaid managed care enrollees to Affordable Care Act (ACA) Marketplace coverage following the end of the COVID-19 public health emergency. As of June 2024, over twenty million individuals lost Medicaid benefits, prompting many states to direct these individuals to ACA plans offered by the same carriers they had under Medicaid. The analysis reveals that in 2021, 52.1% of Medicaid managed care enrollees were with carriers that also provided Marketplace plans in the same county, although significant geographic variation exists. The study highlights the importance of maintaining provider networks during this transition, noting that while many enrollees may retain their carriers, care disruptions are likely, particularly for specific services like obstetrics and pediatrics.
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