An in-depth report that examines how states use automated eligibility algorithms for home and community-based services (HCBS) under Medicaid and assesses their implications for access and fairness.
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.
This report calculates the cumulative impact of major benefit programs on two types of families and how their benefits change as they move into the labor market and climb the ladder of upward mobility.
This report examines Georgia’s Medicaid demonstration testing work requirements—the only such active program in the nation—and provides detailed findings on administrative costs, implementation challenges, and federal oversight weaknesses.
Created for use in the Digital Doorways research project, this design stimuli shows the steps of submitting an application, sharing personal information, and verifying identity for Massachusetts' online application for Medicaid.
This resource highlights strategies for integrating benefits renewals and correspondence, potentially reducing administrative burdens for both clients and caseworkers.
This 11x17 service blueprint visualizes every step, system, and policy decision involved in implementing Medicaid work requirements under H.R. 1—from application to renewal—identifying pain points, questions, and opportunities for states to streamline and humanize the process
This report outlines the foundational requirements and policy choices that states must consider as they prepare to implement mandatory Medicaid work reporting under H.R. 1.
A case study documenting how a modular API layer was built to support a state-level paid family and medical leave program, improving interoperability, scalability, and user experience.
