Unwinding redeterminations and revalidations for Medicaid benefits must coincide with regular processing of new Medicaid applications and increased Medicaid program rolls – generating volume spikes and pressures on limited existing staff.
It’s not only about state agencies handling the increased volume of work. Inaccurate data can cause critical issues. Something as fundamental and incorrect or out of date as mailing addresses could put vulnerable seniors, pregnant women, and children at risk of losing coverage – and create administrative challenges for years to come. Incorrect data required for eligibility determination could result in wasted benefit dollars.
As the Public Health Emergency (PHE) extends, agency and department data sources will grow increasingly outdated — more people are getting back to work and receiving income, moving to new addresses, and experiencing other life changes that impact their data and whether or not they remain eligible for Medicaid benefits.
How serious is the problem?
Streamline Eligibility Processes with Continuous Monitoring
Leveraging LexisNexis Risk Solutions data provides each state agency with the tools to help mitigate the risk of inappropriate terminations and churn, as well as ensure that the state also resumes timely processing of new applications. Enriching data by consolidating identities, removing, and flagging deceased or incarcerated individuals and enhancing the understanding of the populations served, are critical components of continuous care needs.
LexisNexis Risk Solutions can help overcome critical gaps by leveraging thousands of data sources to improve contact data, ensure consistency between departments, as well as determine what is most likely to be information critical for targeted outreach.
Understand & Prioritize Continuous Coverage through Real-World SDOH Data
Leveraging LexisNexis® AmplifyID™ for Unwinding greatly simplifies revalidations. Efficiency and ease of use are critical for Medicaid state agencies, particularly as Unwinding overlaps with regular processing of new Medicaid applications and increased program rolls.
AmplifyID™ for Unwinding accelerates understanding of the person at the core of unwinding decisions.
The AmplifyID for Unwinding Advantage: Tech + Data + People
Our HHS-focused solution architects and data analysts fine tune results to your specific workflow, system integration requirements, and policy preferences.
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More ResourcesLexisNexis® AmplifyID™ for Unwinding Tip SheetLexisNexis AmplifyID™ Master Person Index for GovernmentTop 3 Public Sector Fraud Trends to Watch in 2022Reduce friction and streamline eligibility decisioning Strengthen population health initiatives, enhance interoperability and member views Suppress fraud, waste and abuse to protect finite program resources
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