2025 SOA Health Meeting: Session 4A: Downwind of the Unwind - Medicaid PHE Unwind Impacts on Acuity and Other Actuarial Challenges -06.23.25- Recording

-During the COVID-19 Public Health Emergency (PHE) officially ended in May 2023, initiating a redetermination process referred to as the 'PHE Unwinding.' While this redetermination period is now complete, actuaries face ongoing challenges in understanding and addressing the PHE's long-term effects on Medicaid programs, particularly in rate-setting. This session will delve into key areas influenced by the PHE unwind, including:
- State-specific eligibility impacts and variations in coverage transitions
- Acuity changes driven by shifts in the Medicaid population
- Operational and administrative challenges experienced by states and health plans during redetermination
- The broader financial implications for both state and federal budgets.
Join us as we explore the evolving landscape and its implications for actuaries and other stakeholders.