What some states are doing to mitigate the effects of churn
Adopt 12-month continuous eligibility periods in Medicaid, meaning individuals stay in Medicaid regardless of income fluctuations.
Assess people’s ongoing eligibility for Medicaid using projected annual income instead of current monthly income. This reduces rates of eligibility changes, particularly for workers whose earnings vary seasonally.
Adopt a Basic Health Program that enables states to get federal funds to subsidize health plans for individuals and families with incomes up to 200% of the federal poverty level.
Offer premium assistance programs for individuals transitioning from Medicaid to exchange plans.
Encourage or require insurers to offer both a Medicaid and private plan on the state’s insurance exchange.