There were over 25 million Medicaid disenrollments in 2023, but national enrollment remained significantly above pre-pandemic levels at over 56 million, with notable state-level variations and near-recovery of child enrollment.
In this report, the U.S. Chamber of Commerce Foundation examines benefits cliffs – the loss of eligibility for public safety-net programs and benefits they provide as income rises above eligibility limits.
Post-Medicaid continuous enrollment's end in March 2023, states faced renewal challenges through August 2024, seeing improved auto-renewals but persistent procedural disenrollments despite outreach and intervention.
This study found that using state-specific names for Medicaid programs increased confusion and reduced both positive and negative opinions about the program.
When people hit the moment in the HealthCare.gov sign-up process where they need in-person help, they’re likely frustrated and at risk of abandoning the process altogether. To help, Ad Hoc designers on the Centers for Medicare & Medicaid Services (CMS) Find Local Help team extensively researched user pain points and used human-centered design to create a tool that respects the stress users may experience and delivers the information they need as quickly and simply as possible.
The report examines how current remote identity proofing methods can create barriers to Medicaid enrollment and suggests improvements to ensure equitable access for all applicants.
The team developed an application to simplify Medicaid and CHIP applications through LLM APIs while addressing limitations such as hallucinations and outdated information by implementing a selective input process for clean and current data.
The team developed an AI-powered explanation feature that effectively translates complex, multi-program policy calculations into clear and accessible explanations, enabling users to explore "what-if" scenarios and understand key factors influencing benefit amounts and eligibility thresholds.
The team introduced "Policy Pulse," a tool to help policy analysts understand laws and regulations better by comparing current policies with their original goals to identify implementation issues.
