Washington Health Benefit Exchange: Affordable Cascade Care Health Plans Are Keeping People Covered During the Medicaid Unwind

WASHINGTON, Oct. 6 (TNSres) -- The Washington Health Benefit Exchange issued the following news release on Oct. 5, 2023:

Today, the Washington Health Benefit Exchange (Exchange) released a Data Snapshot Report, which shows the availability of affordable, Cascade Care plans are proving critical to keeping people covered and advancing equity during the Medicaid unwind.

Now that COVID-era protections have expired, Washington, like all states, has resumed regular annual eligibility checks for people covered by our state Medicaid program, Washington Apple Health. For the past year, the Exchange has joined partners across our state, led by the Washington Health Care Authority (HCA), to ensure Apple Health customers watch out for and respond to renewal notices.

Since April 2023, when the renewal process began, nearly half of the more than 2 million Apple Health customers have had their eligibility redetermined and 42% of those had their coverage end. The Exchange is monitoring how many customers who lose Apple Health regain coverage through Washington Healthplanfinder, the integrated web platform operated by the Exchange.

With the state mid-way through this process, data released by the Exchange indicate success in supporting 83,000 customers to return to Apple Health after their coverage ended. Additionally, the data illustrates a historically high uptake of private, qualified health plans (QHPs), such as Cascade Care Plans, among former Apple Health customers.

"Clients who are above income for Apple Health are staying covered by transitioning to Cascade Care plans for $10 or less per month," Exchange CEO Ingrid Ulrey said. "Transitions to qualified health plans from Apple Health are nearly 60% higher than pre-pandemic. Thanks to robust community outreach, enhanced federal subsidies, state innovation with Cascade Care and our integrated web platform, many people have been able to easily make the pivot and stay covered."

The report released by the Exchange provides an illustrative example of a 32-year-old Spokane Valley resident, now earning more than $31,000 per year, who loses Apple Health because they are above income eligibility. The individual is able to regain coverage through a Cascade Care plan for just $4 per month -- affordability made possible by federal subsidies and state-funded Cascade Care Savings.

The data snapshot released by the Exchange, covers analysis of individuals who lost Apple Health coverage from April 1-Aug. 31, 2023.

Key Findings:

* Eighty-eight thousand residents leaving Apple Health are eligible for health insurance and premium savings through Washington Healthplanfinder. Washington residents have the benefit of using only one, integrated system to either buy a QHP or enroll in Apple Health.

* The percentage of eligible customers selecting a QHP after their Apple Health ended increased dramatically at 27%, up from 17% pre-pandemic.

* There is an historically high uptake of QHPs; 24,000 residents selected QHP -- a doubling of pre-pandemic selections, thanks to coordinated and repeated outreach from the Exchange, HCA, carriers and partners.

* We are making equity gains, with higher uptake among customers who are younger, Hispanic, and non-white, compared to existing QHP customers.

* Customers are using Washington Healthplanfinder to shop and enroll in high-value plans, with 75% of former Apple Health customers switching from their former managed care organization and selecting a QHP from the three carriers with the lowest average premiums.

* Cascade Care and federal subsidies are helping 87% of former Apple Health customers afford high-quality plans. A majority, 61%, of customers receiving Cascade Care Savings pay $25 or less on their monthly premiums.

Open enrollment begins Nov. 1 and runs through Jan. 15. Customers can enroll in a 2024 health plan by visiting wahealthplanfinder.org, or by calling the Customer Support Center at 1-855-923-4633, between Nov. 1 and Jan. 15.

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Reminders: Enrollment is offered year-round to individuals and families through Washington Apple Health (Medicaid). Customers enrolled in Apple Health will receive a notice of 60 days before the month they enrolled in or renewed their coverage last year.

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REPORT: https://www.wahbexchange.org/content/dam/wahbe-assets/reports-data/leg-reports/10.4.2023%20Washington%20Health%20Benefit%20Exchange%20MedRed%20Fall%202023%20Data%20Snapshot.pdf

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Original text here: https://www.wahbexchange.org/affordable-cascade-care-health-plans-are-keeping-people-covered-/