Black and Hispanic Americans were twice as likely as white Americans to lose Medicaid last year because of an inability to complete renewal forms during a vast trimming of the program’s rolls, according to a study published on Monday in the journal JAMA Internal Medicine.
The findings from researchers at the Oregon Health & Science University, Harvard Medical School and Northwestern University are some of the first comprehensive data on race gathered after a pandemic-era policy that allowed Medicaid recipients to keep their coverage without regular eligibility checks ended last year.
More than 22 million low-income people have lost health care coverage at some point since April 2023, when the policy allowing continuous enrollment lapsed. The process of ending that policy — what federal and state officials have called “unwinding” — was one of the most drastic ruptures in the health safety net in a generation.
“Medicaid eligibility is complex, and then applying and keeping Medicaid coverage is a huge logistical barrier,” said Dr. Jane M. Zhu, an associate professor of medicine at the Oregon Health & Science University and one of the study’s authors. “What this analysis is showing is that these barriers have downstream spillover effects on particular communities.”