PHE Unwinding

Using data to help redetermine Medicaid Eligibility
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Using data to help redetermine Medicaid Eligibility

Using data to help redetermine Medicaid Eligibility

Capacity is a central concern for Medicaid agencies across the country as they redetermine coverage. The first step towards addressing this is to reduce the workload through ex parte resolutions. However, to truly empower the agency's workforce, it is crucial to equip them with the right tools and eliminate the need to search through multiple systems. While various data options exist, the key lies in proper curation - how we utilize, serve, and refine the data. By doing so, we unlock the full capacity of our existing workforce.

By Blake Shaw|September 2023|Categories: Business Process Redesign, PHE Unwinding|Tags: Blake Shaw, Capacity, Capacity Crisis, ex parte rates, Government, Human Services, Medicaid, No Touch Eligibility, PHE Unwinding, Public Health Emergency, Redeterminations, Workload|

Back to the Basics: Proven Approach to Identify, Tackle and Overcome Backlog

To effectively prepare for, navigate, and manage redetermination and associated program backlogs that will undoubtedly develop in the coming weeks and months as agencies unwind PHE, here are five critical steps agencies can take.

By Blake Shaw|June 2023|Categories: Business Process Redesign, PHE Unwinding|Tags: Backlog, Blake Shaw, Capacity, Capacity Crisis, Data, Eligibility Workers, Government, Insights, Measures, Medicaid, Pandemic, PHE, PHE Unwinding, Public Health Emergency, Public Health Emergency unwinding, Redetermination, Results, Safety net programs, Staffing shortage, Technology, Workload|

Changing Our Relationship with Data: Solving Our Capacity Crisis by Making Data Work for Us, Not the Other Way Around

The only way out of the capacity crisis is to serve our customers completely and immediately. And data can now help us do this, when used correctly and applied at the most opportune time.

By Ken Miller|October 2022|Categories: Measurement, PHE Unwinding|Tags: Accountability, Accountable, Analytics, Capacity, Capacity Crisis, Data, Do more good, Eligibility life cycle, Government, Human Services, Human services agencies, Innovation, Insights, Ken Miller, Metrics, PHE, PHE Unwinding, Public Servant, Public Service, Staffing shortage, System, Transformation, Visibility|

Emerging Stronger When the Public Health Emergency Ends: How Agencies Can Make Room for the Upcoming Wave of Renewals and New Customers

When the public health emergency (PHE) and pandemic waivers come to an end, agencies must renew all existing Medicaid recipients. For many agencies already struggling with staff capacity to meet existing demand, they will no doubt be overwhelmed. To help agencies prepare for and tackle the wave of renewal workload, we offer specific steps that agencies can take to meet this increased demand.