Overlap In Carriers And Networks In Medicaid And The Individual Marketplaces.
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...
| Published in: | Health Affairs Vol. 43; no. 7; pp. 1032 - 1038 |
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| Main Authors: | , , , |
| Format: | pictorial research tables/charts Journal Article |
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Health Affairs Publishing, LLC
Jul2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190597211&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190597211 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Jul2024 vid: 43 iid: 7 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 190597211 190597211 190597211 10.1377/hlthaff.2023.00840 190597211 ppf: 1032 ppct: 6 formats: tig: atl: Overlap In Carriers And Networks In Medicaid And The Individual Marketplaces. aug: au: Meiselbach, Mark Katz Larm Larweh, Henry Maurice Marr, Jeffrey Xu, Jianhui affil: Johns Hopkins University, Baltimore, Maryland sug: subj: Medicaid Insurance, Health, Reimbursement Patient Protection and Affordable Care Act Human Managed Care Programs Health Insurance Exchanges Insurance Carriers Continuity of Patient Care Health Care Reform United States Funding Source ab: 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. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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