Redetermination, Reimagined: Keeping Eligible Members Covered

The best outcome of redetermination is the one that barely feels like an event at all: eligible members renew smoothly and stay covered.

Too often, that’s not what happens. Every renewal cycle, eligible members lose coverage, not because they don’t qualify, but because they get confused by the paperwork, hit an administrative wall they can’t clear on their own, or simply didn’t know they had to renew. For health plans, that’s not just a compliance headache. It’s avoidable churn, disrupted care, higher recovery costs, and members that suffer for reasons that had nothing to do with eligibility.

Join leaders from mPulse and Mirza to see what happens when targeted, personalized engagement seamlessly connects with a frictionless Medicaid application process to bring the industry’s first end-to-end Redetermination solution. mPulse keeps them engaged and informed at every step. Mirza helps identify and guide at-risk members through what is required to renew. Together, it’s a connected approach built to keep eligible members eligible, and enrolled.

In this session, you’ll learn how to:

• Spot members at risk of losing coverage before they fall through the cracks

• Replace fragmented outreach with a proactive, personalized renewal journey

• Cut administrative burden while improving retention and plan performance

• Turn redetermination from a compliance scramble into a real opportunity to strengthen member trust

Coverage gaps are preventable. Come see what a truly end-to-end redetermination strategy looks like, and why it matters more than ever heading into 2027.