Medicaid Evolution: How Upcoming Changes Shape Your Healthcare Access

11. Gamification of Wellness and Health Engagement Apps

Senior doctor using smartphone and remote telehealth medical app. Photo Credit: Envato @damirkhabirov

Beyond traditional patient portals, Medicaid is exploring the gamification of wellness and incentivizing engagement through health apps. Imagine receiving points for completing health quizzes, tracking steps, or attending virtual wellness classes, redeemable for small rewards or discounts. The ingenuity lies in leveraging behavioral economics and mobile technology to make healthy choices more appealing and accessible. This aims to shift patient behavior proactively, transforming the often-passive experience of healthcare into an interactive and motivating journey towards better health outcomes.

12. Addressing the "Coverage Cliff" with Transitional Supports

Telehealth concept. Young woman having video conference with her doctor, consulting therapist online. Photo Credit: Envato @Prostock-studio

A critical but often overlooked access issue is the "coverage cliff" – when individuals earn slightly too much to qualify for Medicaid but not enough for affordable marketplace plans. Upcoming changes are focusing on ingenious transitional support programs. This might include extended eligibility periods, gradual phase-outs of benefits, or direct subsidies for marketplace plans for a temporary period. The goal is to prevent sudden loss of coverage that leads to gaps in care, ensuring a smoother transition for those moving out of Medicaid eligibility and maintaining continuity of care.

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