Maintain Member Eligibility
With new work and redetermination requirements, maintaining member eligibility for Medicaid insurance coverage will become a primary social need. As the leaders in solving social needs, we identify barriers and remove obstacles that prevent people from accessing the care they deserve.
Personalized engagement for all members, direct support for high-risk population
We create an n of 1, culturally tailored, personalized member experience, powered by our Right Touch engagement model that drives results through our deep relationships within a curated network of community-based organizations (CBOs) across the country.
With our solution for addressing new work and redetermination requirements for Medicaid members, we leverage our deep experience reaching and engaging with health plan members to drive action.
By strategically stratifying members according to risk and complexity, we ensure that the right information reaches the right members, at the right time.
Thought leadership
GroundGame.Health experts weigh-in on the new work and redetermination requirements for Medicaid members, and provide deep insights on the impacts, and how to navigate these changes.
White Paper: How Medicaid payers can prepare
Big changes are coming, and payers need to act now. Learn from the experts how to navigate the upcoming Medicaid work requirements landscape.
Under the Same Sky: Jackie Prokop
As part of a special series of programs, Abner Mason speaks with Jackie Prokop, Associate Principal, HMA, discusses the complexities of designing and deploying work requirements programs.
Under the Same Sky: Jacey Cooper
As part of a special series of programs, Abner Mason speaks with Jacey Cooper, President, Precision Health Strategies, will discuss lessons learned from her experiences with Medicaid and CHIP demonstrations.
Under the Same Sky: Karen Shields
As part of a special series of programs, Abner Mason speaks with Karen Shields, KMS Health Consulting, discussed lessons learned from her more than 30+ years of expertise in serving vulnerable populations.
Article series
GroundGame.Health's own Syam Adusumilli, Chief Evangelist and Head of Strategic Partnerships, has initiated a series of articles with useful perspectives and insights on these new requirements.
The New Social Contract: From Safety Net to Trampoline
The One Big Beautiful Bill Act represents more than budget policy, it's a fundamental reordering of the relationship between citizens and their government.
The New Stakeholders: Who Implements the Distributed Social Contract
When work becomes a condition of healthcare coverage, responsibility spreads far beyond government agencies.
The Systems View: How Work Requirements Create Unpredictable Outcomes
When Arkansas implemented Medicaid work requirements in June 2018, state officials anticipated promoting employment and personal responsibility. What they got instead was 18,000 people losing coverage in ten months — with no measurable increase in employment.
Building Verification Systems that Work: Technology’s Role in the Reciprocal State
When 18.5 million people must document 80 hours of activity monthly, system design becomes social policy.
Exemption Systems and the Boundaries of Obligation
Who shouldn't have to work, who decides, and how do we know?
The Human Layer: Agency, Advocacy, and Community Engagement
Systems don't implement themselves — people make them work, or make them fail.
What Health Insurers Can Do: Turning Enrollment Volatility Into Care Continuity
The question isn't whether work requirements are good policy. The question is what operationally competent managed care organizations do when policy creates volatility that threatens both business models and population health.
The 14-month Implementation Checklist: What MCOs Must Do Now
The plans that execute well aren't those with the most resources. They're those that started earliest and iterated fastest. Start now.
Managing the Multiple Burdened: Care Coordination when Medical Risk, Social Complexity,and Administrative Barriers Converge
Effective MCO response doesn't create ten different programs. It creates flexible, adaptive support systems that accommodate intersectional complexity
