An Examination of Medicaid Renewal Outcomes and Enrollment Changes at the End of the Unwinding
There were over 25 million Medicaid disenrollments in 2023, but national enrollment remained significantly above pre-pandemic levels at over 56 million, with notable state-level variations and near-recovery of child enrollment.
The article examines the effects of unwinding the Medicaid continuous enrollment provision, highlighting the renewal and disenrollment outcomes across states from 2023 to mid-2024. It details how over 25 million people lost Medicaid coverage, while over 56 million retained it, leaving national enrollment nearly 10 million higher than pre-pandemic levels. The analysis also explores policy lessons, including the benefits of continuous enrollment, streamlined renewal processes, and enhanced data monitoring for improving Medicaid coverage and reducing churn.
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