Maintaining Continuity of Coverage for Dual Health Plan Members

This white paper discusses strategies for maintaining coverage for dual health plan members through proactive retention programs. It outlines the challenges faced by health plans following the end of the Public Health Emergency, which has resulted in significant loss of Medicaid coverage for millions of members. The document details a multi-pronged approach to retention that includes prevention, recovery, and ongoing member engagement. It emphasizes the importance of identifying at-risk members and implementing targeted outreach strategies to confirm their eligibility. The paper also highlights the economic implications of retention efforts, noting that effective programs can recapture lost revenue while ensuring members receive necessary care. Additionally, it addresses the role of social determinants of health in improving member outcomes and reducing disenrollment rates. The findings suggest that a consistent communication strategy can enhance member satisfaction and retention rates, ultimately benefiting both members and health plans.