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 team explored using LLMs to interpret the Program Operations Manual System (POMS) into plain language logic models and flowcharts as educational resources for SSI and SSDI eligibility, benchmarking LLMs in RAG methods for reliability in answering queries and providing useful instructions to users.
This study examines how individuals assess administrative burdens and how these views change over time within the context of the Special Supplemental Nutrition Assistance Program for Women, Infants, and Children (WIC).