Over 20 million people have been kicked off Medicaid during the redetermination process after the Covid-19 public health emergency. Native Americans are particularly vulnerable to losing coverage due to obstacles in reenrolling. The process has caused unnecessary hardships for patients, including one teenager who lost coverage while seeking lifesaving care. Tribal leaders are facing challenges with the redetermination process, including lack of timely information, patient unawareness, and data deficits. Concerns are raised about the impact of disenrollments on tribal health systems and the ability to provide care. Medicaid accounts for two-thirds of revenue for some tribal health systems, and the unwinding of coverage could exacerbate existing health disparities among Native Americans.
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Medicaid Unwinding Deals Blow to Tenuous System of Care for Native Americans
