Empowered Patient Podcast

Social Risk Factors Identify Those Needing Help Navigating the Medicaid Redetermination Process with Ashley Perry Socially Determined

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Synopsis

Ashley Perry, Chief Strategy and Solutions Officer at Socially Determined, highlights the problems created by the Medicaid redetermination process.  Building on their SocialScape social risk intelligence platform, Socially Determined is providing a new risk score that will help state Medicaid agencies and Managed Care Organizations identify and prioritize members needing help navigating the redetermination. Ashley explains, "As many of your listeners will know, on April 1st of this year, we started redetermining eligibility for the 95 million Medicaid beneficiaries nationwide. And that's a year-long process during which we expect that up to 15 million of them may be disenrolled from the program. So far, we've seen that as of June 16th, we've had about 1.3 million Medicaid beneficiaries nationwide disenrolled across the 22 states that have reported data to date." "What's notable about that, though, is on average across those 22 states, 74% of those who've been disenrolled have been disenrolled for procedural