This paper describes results from fieldwork conducted at a social services site where the workers evaluate citizens' applications for food and medical assistance submitted via an e-government system. These results suggest value tensions that result - not from different stakeholders with different values - but from differences among how stakeholders enact the same shared value in practice.
CHI '14: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
The team introduced an AI assistant for benefits navigators to streamline the process and improve outcomes by quickly assessing client eligibility for benefits programs.
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to simplify Medicaid and CHIP applications through LLM APIs while addressing limitations such as hallucinations and outdated information by implementing a selective input process for clean and current data.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 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to simplify Medicaid and CHIP applications through LLM APIs while addressing limitations such as hallucinations and outdated information by implementing a selective input process for clean and current data.
“Interoperability” refers to systems’ ability to interact with each other to share data so that a customer is connected with as many benefits as possible in an efficient way. The Affordable Care Act (ACA) was originally intended to be interoperable, but this has not occurred yet. Promoting interoperability in the ACA is imperative, as it would help alleviate food insecurity through automatic benefits enrollment.
The Atlanta Fed’s CLIFF tools provide greater transparency to workers about potential public assistance losses when their earnings increase. We find three broad themes in organization-level implementation of the CLIFF tools: identifying the tar- get population of users; integrating the tool into existing operations; and integrating the tool into coaching sessions.
Digitizing public benefits policy will make the biggest impact for administrators and Americans, but only if it happens at the highest level of government.
We continued Rules as Code Demo Day with Daniel Singer and Preston Cabe from Benefits Data Trust. Benefits Data Trust provides benefit outreach and application assistance services in seven states. Using Benefits Launch, their in-house interview and rules engine, they support two hundred contact center employees as they screen and apply thousands of clients each year. They also offer a self-service screener, Benefits Launch Express. Additionally, they offer an eligibility API to integrate with other services.
The Policy Rules Database (PRD), developed by the Federal Reserve Bank of Atlanta and the National Center for Children in Poverty, consolidates complex rules for major U.S. federal and state benefit programs and tax policies into a standardized, easy-to-use format. This database allows researchers to model public assistance impacts, simulate policy changes, and analyze benefits cliffs across various household scenarios using common rules and language across different programming platforms.
This brief analyzes the current state of federal and state government communication around benefits eligibility rules and policy and how these documents are being tracked and adapted into code by external organizations. This work includes comparisons between coded examples of policy and potential options for standardizing code based on established and emerging data standards, tools, and frameworks.