ArticleJournal of general internal medicine2026
A Student-Led Initiative to Prevent Medicaid Disenrollment in Hospitalized Patients During Redetermination.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
9 authors.
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Abstract
backgroundMedicaid redetermination, suspended during the COVID-19 pandemic, resumed in April 2023, requiring 94 million Medicaid recipients to recertify eligibility. In Georgia, this process affected all 2.7 million Medicaid recipients, risking loss of coverage for many.
aimWe implemented a medical student-led, hospital-based intervention to educate and assist Medicaid recipients in navigating redetermination. SETTING AND
participantsThree hundred and fifty-two adult Medicaid recipients were admitted to an urban safety-net hospital in Atlanta, GA. PROGRAM DESCRIPTION: From October 2023 to April 2024, 53 trained medical student volunteers conducted one-on-one educational encounters with admitted patients to assess awareness of redetermination and assist with application submissions. PROGRAM EVALUATION: We found that 201/332 (60.5%) of patients were unaware of redetermination; 20/250 (8%) were able to recertify during or were prepared to recertify after the encounter. For those unable to recertify, the most common barrier was difficulty accessing the online portal. DISCUSSION: This grassroots, student-led intervention served as a vital resource to educate patients about little-known changes to health policy. Shortcomings within our Medicaid infrastructure limited the efficacy of this project to prevent disenrollment. Our findings underscore the urgent need for targeted interventions to prevent procedural disenrollment and promote health equity among Medicaid recipients.
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