Lapse Data by State
TOTAL PATIENTS DROPPED FROM MEDICAID
Since the End of PHE & Start of Unwinding
Terminated Members: 400,322
Factual Terminations: 13%
Procedural Terminations: 348,695
Procedural Percentage: 87%
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Terminated Members: 47,579
Factual Terminations: 49%
Procedural Terminations: 24,314
Procedural Percentage: 51%
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Terminated Members: 620,071
Factual Terminations: 30%
Procedural Terminations: 434,079
Procedural Percentage: 70%
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Terminated Members: 351,129
Factual Terminations: 24%
Procedural Terminations: 266,850
Procedural Percentage: 76%
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Terminated Members: 2,014,056
Factual Terminations: 25%
Procedural Terminations: 1,508,033
Procedural Percentage: 75%
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Terminated Members: 776,240
Factual Terminations: 35%
Procedural Terminations: 507,720
Procedural Percentage: 65%
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Terminated Members: 221,864
Factual Terminations: 28%
Procedural Terminations: 159,300
Procedural Percentage: 72%
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Terminated Members: 57,803
Factual Terminations: 40%
Procedural Terminations: 34,658
Procedural Percentage: 60%
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Terminated Members: 47,482
Factual Terminations: 13%
Procedural Terminations: 41,503
Procedural Percentage: 87%
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Terminated Members: 1,865,072
Factual Terminations: 36%
Procedural Terminations: 1,202,716
Procedural Percentage: 64%
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Terminated Members: 802,071
Factual Terminations: 26%
Procedural Terminations: 593,346
Procedural Percentage: 74%
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Terminated Members: 94,611
Factual Terminations: 20%
Procedural Terminations: 75,634
Procedural Percentage: 80%
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Terminated Members: 189,471
Factual Terminations: 26%
Procedural Terminations: 140,960
Procedural Percentage: 74%
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Terminated Members: 647,904
Factual Terminations: 34%
Procedural Terminations: 427,203
Procedural Percentage: 66%
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Terminated Members: 499,306
Factual Terminations: 23%
Procedural Terminations: 385,656
Procedural Percentage: 77%
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Terminated Members: 272,349
Factual Terminations: 28%
Procedural Terminations: 197,507
Procedural Percentage: 72%
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Terminated Members: 166,030
Factual Terminations: 55%
Procedural Terminations: 75,420
Procedural Percentage: 45%
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Terminated Members: 240,130
Factual Terminations: 44%
Procedural Terminations: 133,652
Procedural Percentage: 56%
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Terminated Members: 644,548
Factual Terminations: 28%
Procedural Terminations: 462,810
Procedural Percentage: 72%
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Terminated Members: 48,989
Factual Terminations: 75%
Procedural Terminations: 11,900
Procedural Percentage: 25%
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Terminated Members: 343,731
Factual Terminations: 28%
Procedural Terminations: 246,729
Procedural Percentage: 70%
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Terminated Members: 901,100
Factual Terminations: 30%
Procedural Terminations: 630,770
Procedural Percentage: 70%
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Terminated Members: 1,077,550
Factual Terminations: 19%
Procedural Terminations: 870,365
Procedural Percentage: 81%
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Terminated Members: 354,848
Factual Terminations: 75%
Procedural Terminations: 88,712
Procedural Percentage: 25%
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Terminated Members: 149,948
Factual Terminations: 27%
Procedural Terminations: 110,204
Procedural Percentage: 73%
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Terminated Members: 378,255
Factual Terminations: 21%
Procedural Terminations: 298,116
Procedural Percentage: 79%
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Terminated Members: 134,720
Factual Terminations: 32%
Procedural Terminations: 90,994
Procedural Percentage: 78%
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Terminated Members: 118,582
Factual Terminations: 51%
Procedural Terminations: 57,802
Procedural Percentage: 49%
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Terminated Members: 347,392
Factual Terminations: 7%
Procedural Terminations: 323,083
Procedural Percentage: 93%
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Terminated Members: 66,562
Factual Terminations: 20%
Procedural Terminations: 53,322
Procedural Percentage: 80%
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Terminated Members: 529,563
Factual Terminations: 30%
Procedural Terminations: 369,475
Procedural Percentage: 70%
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Terminated Members: 220,160
Factual Terminations: 15%
Procedural Terminations: 186,097
Procedural Percentage: 85%
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Terminated Members: 2,020,154
Factual Terminations: 54%
Procedural Terminations: 935,121
Procedural Percentage: 46%
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Terminated Members: 295,294
Factual Terminations: 14%
Procedural Terminations: 253,247
Procedural Percentage: 86%
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Terminated Members: 62,862
Factual Terminations: 30%
Procedural Terminations: 43,745
Procedural Percentage: 70%
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Terminated Members: 867,445
Factual Terminations: 30%
Procedural Terminations: 611,165
Procedural Percentage: 70%
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Terminated Members: 717,862
Factual Terminations: 18%
Procedural Terminations: 587,749
Procedural Percentage: 82%
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Terminated Members: 222,580
Factual Terminations: 21%
Procedural Terminations: 175,516
Procedural Percentage: 79%
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Terminated Members: 910,950
Factual Terminations: 47%
Procedural Terminations: 484,647
Procedural Percentage: 53%
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Terminated Members: 95,910
Factual Terminations: 26%
Procedural Terminations: 71,347
Procedural Percentage: 74%
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Terminated Members: 455,978
Factual Terminations: 39%
Procedural Terminations: 277,307
Procedural Percentage: 61%
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Terminated Members: 62,270
Factual Terminations: 52%
Procedural Terminations: 30,184
Procedural Percentage: 48%
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Terminated Members: 508,477
Factual Terminations: 28%
Procedural Terminations: 367,194
Procedural Percentage: 72%
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Terminated Members: 2,493,831
Factual Terminations: 32%
Procedural Terminations: 1,701,351
Procedural Percentage: 68%
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Terminated Members: 223,241
Factual Terminations: 9%
Procedural Terminations: 204,180
Procedural Percentage: 91%
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Terminated Members: 38,457
Factual Terminations: 30%
Procedural Terminations: 27,103
Procedural Percentage: 71%
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Terminated Members: 553,124
Factual Terminations: 30%
Procedural Terminations: 302,543
Procedural Percentage: 70%
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Terminated Members: 469,029
Factual Terminations: 15%
Procedural Terminations: 396,514
Procedural Percentage: 85%
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Terminated Members: 208,570
Factual Terminations: 25%
Procedural Terminations: 157,396
Procedural Percentage: 75%
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Terminated Members: 393,795
Factual Terminations: 37%
Procedural Terminations: 247,331
Procedural Percentage: 63%
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Terminated Members: 14,442
Factual Terminations: 37%
Procedural Terminations: 9,137
Procedural Percentage: 63%
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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?
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