Medicaid Policy Shifts and What They Mean

In this episode, host Rebecca Haro Kuo, Director of Operations for GetixHealth Third-Party Eligibility Services, sits down with Jennifer Wagner, Director of Medicaid Eligibility and Enrollment at the Center on Budget and Policy Priorities, for an in-depth look at the current and future state of Medicaid enrollment.

Rebecca guides the conversation through the intersection of politics, policy, and operations, asking sharp questions that highlight the challenges revenue cycle teams are facing today. Together, they explore issues like the impact of work requirements, funding cuts, and system inefficiencies, as well as the creative solutions that have emerged—such as state-led outreach campaigns and technology improvements.

This episode is essential listening for healthcare leaders looking to strengthen their enrollment processes and protect coverage for vulnerable populations.

Key Topics Covered

• How political dynamics shape Medicaid eligibility and renewal processes
• Risks and consequences of proposed work requirements and more frequent redeterminations
• Innovations in outreach and enrollment, including the use of technology and human-centered design
• Lessons learned from the COVID-19 unwinding period and its impact on Medicaid systems
• The importance of preserving multiple access paths (online, in-person, telephonic) for applicants
• Collaboration between federal agencies, state governments, and community advocates
• Practical advice for revenue cycle leaders on staying informed and influencing policy implementation