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Apr 12 2024 KFF Health News

Nearly a quarter of adults disenrolled from Medicaid in the past year say they are now uninsured, according to a survey released Friday that details how tens of millions of Americans struggled to retain coverage in the government insurance program for low-income people after pandemic-era protections began expiring last spring.

The first national survey of adults whose Medicaid eligibility was reviewed during the unwinding found nearly half of people who lost their government coverage signed back up weeks or months later — suggesting they should never have been dropped in the first place.

While 23% reported being uninsured, an additional 28% found other coverage — through an employer, Medicare, the Affordable Care Act's insurance marketplace, or health care for members of the military, the survey by KFF found.

"Twenty-three percent is a striking number especially when you think about the number of people who lost Medicaid coverage," said Chima Ndumele, an associate professor of health policy at the Yale University School of Public Health.

Going without insurance even for a short period of time can lead people to delay seeking care and leave them at financial risk when they do.

Seven in 10 adults who were disenrolled during the unwinding process say they became uninsured at least temporarily when they lost their Medicaid coverage.

Adrienne Hamar, 49, of Plymouth Meeting, Pennsylvania, said she struggled to enroll in an Affordable Care Act marketplace plan this winter after the state informed her that she and her two children no longer qualified for Medicaid. They had been enrolled since 2020. She said phone lines were busy at the state's marketplace and she couldn't complete the process online.

Hamar, who works as a home health aide, and her children were uninsured in March. But since April 1, they've been enrolled in a marketplace plan that, with the help of government subsidies, costs $50 a month for the family.

"I was very relieved," she said. Unsure of their insurance status, Hamar said, her 23-year-old daughter delayed getting a dental checkup.

Hamar's struggles were common, the survey found.

Of adults enrolled in Medicaid before the unwinding, about 35% who tried to renew their coverage described the process as difficult, and about 48% said it was at least somewhat stressful.

About 56% of those disenrolled say they skipped or delayed care or prescriptions while attempting to renew their Medicaid coverage.

"People's current insurance status is likely to be very much in flux, and we would expect at least some of the people who say they are currently uninsured to reenroll in Medicaid — many say they are still trying — or enroll in other coverage within a short period of time," said Jennifer Tolbert, a co-author of the KFF report and the director of KFF's State Health Reform and Data Program. Related StoriesBiden is right about $35 insulin cap but exaggerates prior costs for Medicare enrolleesPrenatal cannabis use disorder linked to increased risk of neurodevelopmental disorders in offspringLurie Children's Hospital administers first gene therapy for Duchenne muscular dystrophy in Illinois

The survey didn't include children, and the KFF researchers said their findings therefore couldn't be extrapolated to determine how the Medicaid unwinding has affected the overall U.S. uninsured rate, which hit a record low of 7.7% in early 2023. Nearly half of enrollees in Medicaid and the related Children's Health Insurance Program are children.

The unwinding, in which states are reassessing eligibility for Medicaid among millions of Americans who enrolled before or during the pandemic and dropping those who no longer qualify or did not complete the renewal process, won't be completed until later this year. Enrollment in Medicaid and CHIP grew to a record of nearly 94.5 million in April of last year, three years after the federal government prohibited states from cutting people from their rolls during the covid-19 public health emergency.

Nationally, states have disenrolled about 20 million people from Medicaid in the past year, most of them for procedural reasons such as failure to submit required paperwork. That number is expected to grow, as states have a few more months to redetermine enrollees' eligibility.

Among adults who had Medicaid prior to the start of the unwinding, 83% retained their coverage or reenrolled, while 8% found other insurance and 8% were uninsured. The share left uninsured was larger in states that have not expanded Medicaid under the ACA (17%) than in states that have (6%). Forty states have expanded Medicaid to cover everyone with an income under 138% of the federal poverty rate, or $31,200 for a family of four this year.

The KFF survey found that nearly 1 in 3 disenrolled adults discovered only when they sought health care — such as going to a doctor or a pharmacy — that they had been dropped from Medicaid.

Indira Navas of Miami found out that her 6-year-old son, Andres, had been disenrolled from Florida's Medicaid program when she took him to a doctor appointment in March. She had scheduled Andres' appointment months in advance and is frustrated that he remains uninsured and his therapy for anxiety and hyperactivity has been disrupted.

Navas said the state could not explain why her 12-year-old daughter, Camila, remained covered by Medicaid even though the children live in the same household with their parents.

"It doesn't make sense that they would cover one of my children and not the other," she said.

Kate McEvoy, executive director of the National Association of Medicaid Directors, said the sheer volume of millions of people being redetermined for eligibility has overwhelmed some state call centers trying to support enrollees.

She said states have tried many ways to communicate with enrollees, including through public outreach campaigns, text, email, and apps. "Until the moment your coverage is at stake, it's hard to penetrate people's busy lives," she said.

The KFF survey, of 1,227 adults who had Medicaid coverage in early 2023 prior to the start of the unwinding on April 1, 2023, was conducted between Feb. 15, 2024, and March 11, 2024. The margin of sampling error was plus or minus 4 percentage points.

KFF Health News correspondent Daniel Chang contributed to this article.

This article was reprinted from khn.org, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF – the independent source for health policy research, polling, and journalism. Source:

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MLB: Iassogna crew chief, plate umpire for ASG

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MLB: Iassogna crew chief, plate umpire for ASG

NEW YORK — Dan Iassogna will be the umpire crew chief and work the plate during Tuesday night’s All-Star Game at Atlanta’s Truist Park.

His crew will include Marvin Hudson at first, Chris Segal at second, Jansen Visconti at third, Jeremie Rehak in left and Erich Bacchus in right, Major League Baseball said Thursday.

Iassogna, 56, will work his second All-Star Game. He was at third base for the 2011 game at Arizona.

He worked his first big league game in 1999, was hired to the major league staff in 2004 and appointed a crew chief ahead of the 2020 season. Iassogna umpired the World Series in 2012, ’17 and ’22 along with eight League Championship Series and seven Division Series.

Segal, Visconti, Rehak and Bacchus will work their first All-Star Games and Hudson his second after being in left field in 2004 at Houston.

Tony Randazzo will be the replay umpire in New York.

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A’s Rooker joins list of HR Derby participants

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A's Rooker joins list of HR Derby participants

WEST SACRAMENTO, Calif. — Athletics slugger Brent Rooker is adding his name to the list of Home Run Derby participants.

Rooker announced Thursday that he’s participating in the event, which takes place Monday in Atlanta. He will become the first Athletics player in the Home Run Derby since Matt Olson in 2021.

“Competing in the Home Run Derby has always been a dream of mine,” Rooker said in an Instagram post. “Can’t wait to make it happen next week in Atlanta! See ya there!”

Rooker, 30, entered Thursday with a .270 batting average, 19 homers and 50 RBIs, putting him on pace for a third straight season of at least 30 homers. He went deep 30 times in 2023 and had 39 homers in 2024.

His 58 homers since the start of the 2024 season rank him third among all American League players.

The only A’s to win the Derby were Mark McGwire in 1992 and Yoenis Céspedes in 2013 and 2014.

Other announced participants include Atlanta’s Ronald Acuña Jr., Minnesota’s Byron Buxton, Tampa Bay’s Junior Caminero, Pittsburgh’s Oneil Cruz, Seattle’s Cal Raleigh and Washington’s James Wood.

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O’s trade reliever Baker to Rays for draft pick

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O's trade reliever Baker to Rays for draft pick

BALTIMORE — The Orioles traded right-handed reliever Bryan Baker to AL East rival Tampa Bay on Thursday in exchange for the 37th overall pick in the 2025 MLB amateur draft, a sign that one of baseball’s most disappointing clubs could be sellers at the upcoming trade deadline.

Orioles general manager Mike Elias wouldn’t completely commit to that idea. Speaking to reporters before Thursday’s split doubleheader against the New York Mets, he cited the 2024 Detroit Tigers, who traded players off their major league roster but held on to ace Tarik Skubal and then surged into a playoff spot.

Elias did, however, acknowledge the possibility of selling on a day that began with last-place Baltimore (40-50) sitting 12½ games behind the division-leading Toronto Blue Jays and seven out of the final AL wild-card spot.

“I think it’s a step in that direction,” said Elias three weeks before the July 31 deadline. “There’s no way around that. The timing of the draft, and when you have draft picks involved in the trades, kind of front-loads these decisions, and it’s earlier than my comfort level. But we thought it was a really good return and a good trade for everyone. So, we did it.”

The draft begins Sunday. In a corresponding move, the Orioles selected the contract of catcher David Bañuelos from Triple-A Norfolk.

After a dreadful start that brought the May dismissal of manager Brandon Hyde, the Orioles have steadied under interim skipper Tony Mansolino, playing to a 21-14 record since a loss to St. Louis on May 28.

Baker was a solid part of that, posting a 3.52 ERA, striking out 49 batters and posting a 1.096 WHIP in 38⅓ innings as the setup man for closer Felix Bautista.

“This is a team that is moving in the right direction, and we still have a lot of time left before the deadline, but this was a trade with the draft coming up in a couple days that we had to make a decision on,” Elias said. “We didn’t want to pass up on the opportunity. Hopefully, we can use the pick wisely, bring a lot of value back, and Bryan’s going to a good place.”

Mansolino is also hoping his team will get replenishments in the form of players eventually returning from the injured list. That sizable group includes several possible starting pitchers: Grayson Rodriguez (shoulder), Albert Suarez (shoulder), Tyler Wells (elbow) and Kyle Bradish (Tommy John surgery).

Meanwhile, Baltimore will now have four of the first 37 and seven of the first 93 draft picks.

“All the drafts are important, but when you have this amount of picks, it becomes more important, there’s no question about it,” Elias said. “There’s just a much bigger opportunity ahead of us, and the draft is a lifeblood for our franchise.”

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