Medicaid and the “great unwinding”: A high-stakes implementation challenge
The onset of the COVID-19 pandemic led to enactment of the Families First Coronavirus Response Act in March 2020. The law ends in 2023, precipitating a great unwinding of Medicaid enrollments. As this unwinding unfolds four factors will be especially important — staffing problems, the speed of renewal implementation, the adoption of ex parte procedures, and the dynamics of performance management.