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MEDICAID INSIGHTS

Monthly Industry Statistics & News
1.42 Million
Children Lost Coverage
Majority are process based, not eligibility based
2.8%
Lapse Rate
Nationally in September
50%

States' Lapses Increased
Based on reported states

917,575

Total Medicaid Lapses
In the State of Texas

10

States Have Not Expanded
AL FL GA KS MS SC TN TX WI WY

524,076

Total Medicaid Lapses
In the State of Florida

3.24%

Missouri Lapse Rate
87% Increase over 30 days

1.56%

California Lapse Rate
147% Increase over 30 days

CHALLENGES

  • Lapse rates are unpredictable from month to month
  • Redetermination dates are unreliable
  • High Procedural Lapses causing unnecessary confusion & work load
  • Most patients are unaware of their Medicaid status
  • Almost 50% of patients experiencing redetermination for the first time
  • When re-enrolling, patients are relying on their provider

How Can PointCare Help?

Schedule a call with our enrollment experts and see the power of Coverage Management.
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