Coverage only matters if it’s stable, comprehensive, and connected to providers and services people can reach.
Coverage Gaps & Churn
Administrative hurdles, renewals, and documentation issues can push eligible people out of coverage. Black families are disproportionately affected by state-level administrative choices and provider shortages.
Key Levers
- Continuous Eligibility: 12-month continuous coverage for children and adults.
- Network Adequacy: Enforce time-and-distance standards; invest in workforce diversity.
- Integrated Care: Behavioral health, dental, vision, maternity, and social services.
- Community Health Workers: Reimbursement and pathways to scale.
- Digital Front Doors: Simple applications, mobile renewals, and language access.
Measuring Progress
Track enrollment stability, appointment wait times, preventable ER visits, and disparities in chronic disease control.
