payment-year-2020-ma-radv-audit-methods-instructions. ... - CMS

: As of mid-2024, approximately 23 million to 25 million people have been disenrolled nationwide.

: In many states, a high percentage of disenrollments were "procedural," meaning coverage was cut because the state could not reach the person or the person did not return forms on time. Key Arguments and Perspectives

The "unwinding" describes the period after the expired on March 31, 2023. During the COVID-19 pandemic, the federal government prohibited states from disenrolling members to ensure stable healthcare access. When this ended, millions lost coverage due to a mix of new ineligibility and "administrative churn"—where people were dropped because of paperwork errors or missed mail despite still being eligible.