After Hitting Record Low, Uninsured Rates Climb: CDC

From Beckers

After hitting record lows in 2023, uninsured rates are beginning to rise again, according to new CDC data. 

According to CDC estimates published August 5, 8.2% of Americans were uninsured in the first quarter of 2024, up from 7.7% in the fourth quarter of 2023.

In the second quarter of 2023, the CDC recorded a record-low uninsured rate of 7.2%. Government estimates predict the uninsured rate will rise over the next decade, driven by Medicaid disenrollment and the expiration of ACA subsidies.

The CDC also said 27.1 million people were uninsured in the first quarter of 2024, up from 25.5 million in the fourth quarter of 2023.

The number of people under 65 with public coverage declined from 75.9 million in the fourth quarter of 2023 to 73.5 million in the first quarter of 2024. Federal agencies estimated insured rates would drop as states began disenrolling Medicaid enrollees for the first time since 2020.

Continuous coverage requirements in place during the COVID-19 pandemic helped drive uninsured rates to new lows. At least 24.8 million people have been disenrolled from Medicaid since March 2023, according to KFF.

Though the number of people with public coverage has decreased, the number of adults under 65 with private insurance was the same between the last quarter of 2023 and the first quarter of 2024, at 176.7 million.

ACA exchange enrollment increased to 16.6 million in the first quarter of 2024, up from 13.3 million in the last quarter of 2023. Federal agencies have worked to steer individuals losing Medicaid coverage to exchange plans.

Enhanced subsidies that offset the premiums for marketplace plans are set to expire at the end of 2025, unless Congress chooses to extend them.

Estimates from the Congressional Budget Office in June projected the uninsured rate will hit 8.9% by 2034.

CMS Launches Oral Health Cross Cutting Initiative

The Centers for Medicare and Medicaid Services (CMS) released the inaugural Oral Health Cross Cutting Initiative (CCI) fact sheet. This initiative is committed to ensuring equitable access to oral health care, eliminating disparities, expanding oral health service availability, and effectively engaging stakeholders. It aims to improve the oral health and wellness of individuals who have Medicare, Medicaid, and Marketplace coverage.

Click here to download the fact sheet.

Oral Health Resources for Older Adults Available

PCOH has added two new resources on oral health care for older adults to their Request Materials page. “Oral Health Care Tips for Older Adults” is a resource with tips for oral health care for older adults including the importance of regular dental care and dental access. “Oral Care for Long-Term Care Residents” is a tri-fold brochure with tips providers need to know for treating adults in long-term care facilities. Topics include dry mouth, denture care, and gum disease. These resources, and many others, are available to download or ship for free from the Request Materials page.

Click here to request materials.

FDA Approves First Colorectal Cancer Blood Test

The FDA approved the Guardant Health, Inc. Shield, a test intended to screen for colorectal cancer (CRC) using blood collected in the Guardant Shield Blood Collection Kit. The test is used for CRC screening in individuals at average risk for the disease who are 45 years of age or older. Patients with positive test results should have a colonoscopy since the test is not a replacement for diagnostic colonoscopy or for surveillance colonoscopy in high-risk individuals. Shield has limited detection (55%-65%) of Stage I colorectal cancer and does not detect 87% of precancerous lesions.

HHS Shuffle Aims to Address Cyberthreats, AI

The Biden administration is overhauling its health IT functions to address the proliferation of cyberattacks on the sector and the growth of data and artificial intelligence in medical settings. Why it matters: The goals include setting an AI policy and strategy for HHS and streamlining critical infrastructure protection within the Administration for Strategic Preparedness and Response, or ASPR, per a notice to be published in the Federal Register. Click here to learn more.

CMS Celebrates 59 Years of Service

This week, the Centers for Medicare & Medicaid Services (CMS) celebrated the 59th Anniversary of Medicare and Medicaid programs. Signed into law in 1965, Pres. Lyndon B. Johnson formally established the Medicare program, which provides health insurance coverage for those over 65, people with disabilities and those with end stage renal disease. Medicaid is a federal and state program that provides health coverage for low-income children, pregnant women, seniors, and individuals with disabilities. Medicaid is the single largest source of health coverage in the United States covering 82+ million Americans including over 2.9 million Pennsylvanians. Over the years additional services and benefits have been added to both programs including Medicaid Part D Prescription Drug Coverage and the Children’s Health Insurance Program.

Reminder: Emergency Resources

The Health Resources and Services Administration (HRSA) Emergency Preparedness, Response, and Recovery Resources for Health Centers webpage provides a comprehensive set of resources and links to their Emergency Information Kit. Resources include some on CMS’ emergency preparedness rule and a full list of Federal Tort Claims Act (FTCA) resources. In addition, the Department of Health and Human Services (HHS) recently introduced a new Heat and Health Index, which helps identify communities where people are most likely to feel the effects of heat on their health. Visit CDC’s website to access the index and other Centers for Disease Control tools. HHS’ Catalytic Program aims to connect safety net health care providers to Inflation Reduction Act funding for resilient and renewable infrastructure. Learn more on HHS’ website, which includes an entire set of webinars for health centers (scroll a little over halfway down the page).

Data Released to Promote Health Equity

A new report from Capital Link and the National Health Care for the Homeless Council aims to provide practical guidance for Health Care for the Homeless (HCH) health centers. It provides a thorough examination of financial and operational benchmark trends, empowering HCHs to leverage their data resources to effectively address health equity concerns. Visit Capital Link’s site to download.