Reducing Medicaid administrative burden

How states can streamline operations and strengthen member experience

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State Medicaid agencies are navigating one of the most complex operational shifts in recent history. New federal reforms, including twice-annual redeterminations, expanded verification requirements and stricter reporting mandates, have significantly increased administrative workload. These pressures strain staff, systems and budgets, often leading to coverage loss for eligible members due to missed communication or process complexity.

This resource outlines how technology-driven modernization can help states reduce administrative burden, improve compliance and deliver a more efficient, empathetic member experience by orchestrating people, systems and data more intelligently.

This resource explains how agencies can:

Reduce preventable disenrollments through proactive, multichannel outreach.
Automate repetitive tasks like renewals, document handling and status checks.
Improve staff efficiency with smart routing and real-time agent guidance.
Shift from reactive case management to proactive, member-centered service.

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Reducing Medicaid administrative burden

This resource explains how agencies can: