Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
Part II: Building a Medicaid Community Engagement Verification Engine in Claude Code & Selling It to State Agencies Before the January 2027 Deadline: A Field Guide to the Land Grab Behind CMS-2454
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Part II: Building a Medicaid Community Engagement Verification Engine in Claude Code & Selling It to State Agencies Before the January 2027 Deadline: A Field Guide to the Land Grab Behind CMS-2454

CMS just mandated that 43 states verify Medicaid work requirements by Jan 1, 2027. Almost none of them have built the software to do it.

Georgia spent $92M on its work requirement pilot. More than $2 in administration for every $1 in actual medical care. 4,300 enrollees against 246,000 eligible.

This is not a workforce policy. Most Medicaid adults already…

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