Having spent the past decade focused on Member Engagement, I’ve seen quite a bit. I’ve seen the obstacles members face in understanding their health, accessing care, and renewing their coverage.
Medicaid Redetermination is an intentionally complex process. In fact, in 2023, 14.3 million people (68.7%) of eligible Medicaid beneficiaries lost coverage because of procedural failures.¹
Read that again. 68.7% of eligible members lost coverage because of red tape.
Barriers to healthcare and coverage should be infrequent, not commonplace.
That’s why I’m incredibly proud to share a new partnership between mPulse and Mirza. Together, we are offering the industry’s first end-to-end Medicaid Redetermination solution. From awareness to application completion, members can skip over the hoops that they often need to jump through to maintain healthcare coverage.
What is it?
mPulse is capturing the full member experience through our advanced AI-driven Health Experience and Insights (HXI) platform. Our data-driven multi-channel engagement programs captivate, educate, and activate members to begin their Medicaid application.
Mirza picks up on the momentum by providing eligibility screening, a streamlined application process, submission, monitoring, and status updates. Mirza works directly with state systems to submit, monitor, and update Medicaid and other social service applications.
By delivering outreach and applications in the member’s preferred language and helping overcome barriers, the mPulse and Mirza partnership turns a once-complex process into a simplified, accessible digital experience.
Prepare Now for January 2027 Redetermination
Why it matters.
Redetermination is expensive when done incorrectly. Members pay for poorer health outcomes and out-of-pocket costs due to lack of coverage.² Health plans can incur recovery costs of up to $600 per member lost.³
It simply doesn’t have to be that way. An end-to-end solution that informs members that they need to reapply, understands complexities in applications, and helps members overcome those by pointing to a single source that simplifies the process while removing the cognitive load of an overwhelming process.
Today, many states are scrambling to address the rulings mandated by H.R. 1 while also wondering whether those rulings will take effect before the midterm elections. They face the additional challenge that timelines for Redetermination are not changing. Come January 2027, health plans will need to have a plan. A plan to inform members of application frequency and workforce requirements. Elevation and execution. Two things the mPulse and Mirza partnership address directly.
Is this too good to be true?
If it sounds too good to be true? It’s not.
Together, mPulse and Mirza are giving millions of Americans the opportunity to maintain their healthcare coverage by removing barriers and burden. This partnership is giving health plans like yours the opportunity to deliver a better member experience and save thousands on retention costs.
Medicaid Redetermination Solutions
Explore the Right Strategy for Your Members
