THE FUTURE OF MEDICAID: ADVANCING ELIGIBILITY THROUGH A MARKETPLACE MODEL.
The article focuses on the future of Medicaid eligibility and enrollment in light of new federal regulations under H.R. 1, which introduce community engagement requirements, semiannual redeterminations, and enhanced verification standards. It highlights the opportunity for states to modernize Medica...
| Published in: | Policy & Practice (19426828) Vol. 84; no. 1; pp. 22 - 26 |
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| Format: | Article |
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American Public Human Services Association
Spring2026
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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=ssf&AN=194414505&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 194414505 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 19426828 B7YA jtl: Policy & Practice (19426828) issn: 19426828 maglogo: N pubinfo: dt: Spring2026 vid: 84 iid: 1 pid: 35 pub: American Public Human Services Association artinfo: ui: 194414505 ppf: 22 ppct: 4 formats: fmt: @attributes: type: P size: 1.1MB tig: atl: THE FUTURE OF MEDICAID: ADVANCING ELIGIBILITY THROUGH A MARKETPLACE MODEL. aug: au: TOOLE, SEAN affil: Senior Vice President for Vimo su: Medicaid eligibility Health insurance exchanges Data integration Insurance exchanges Workforce planning Web-based user interfaces sug: subj: All Other Insurance Related Activities Medicaid eligibility Health insurance exchanges Data integration Insurance exchanges Workforce planning Web-based user interfaces ab: The article focuses on the future of Medicaid eligibility and enrollment in light of new federal regulations under H.R. 1, which introduce community engagement requirements, semiannual redeterminations, and enhanced verification standards. It highlights the opportunity for states to modernize Medicaid systems by adopting marketplace-style models similar to Health Insurance Exchanges (HIX), emphasizing streamlined digital applications, real-time data integration, and unified workflows to improve both compliance and user experience. The Medicaid Express platform, developed by Vimo, exemplifies this approach by automating eligibility determinations and integrating plan selection to reduce processing times and administrative burdens. The article underscores that such modernization can enhance program integrity, stabilize participation, and better allocate staff resources amid workforce shortages, positioning states for long-term resilience despite potential coverage reductions and budget constraints. pubtype: Periodical doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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