1. Costos Administrativos Excesivos.
El programa de requisitos de trabajo de Medicaid en Georgia ha demostrado ser fiscalmente ineficiente, gastando consistentemente mucho más en administración y consultoría que en la prestación real de atención médica a los beneficiarios, según informes de la GAO y ProPublica.
- Georgias medicaid work requirements program spent two times as much on administrative costs as on health care costs while preventing thousands of eligible georgians from accessing health care.
- Georgia spent 54.2 million in less than five years to administer the countrys only medicaid program with work requirements more than twice as much as it spent to provide health care to enrollees.
- The largest cuts come from an added work requirement for medicaid access. Georgia has one such experimental program, which costs 90m. Interestingly, only 26m of that spending goes to actual benefits, meaning the majority of the programs cost is administrative.
- Georgias medicaid work requirement program spent twice as much on administrative costs as on health care, gao says.
2. Barreras Burocráticas y Baja Inscripción.
La implementación de los requisitos laborales en Georgia y Arkansas creó un laberinto de trámites, fallas técnicas y dificultades de presentación de informes que impidieron que miles de personas elegibles mantuvieran o accedieran a la cobertura, sin lograr aumentar las tasas de empleo.
- Arkansas tried work requirements. In 4 months, 18,00 people lost medicaid. Georgia spent 86 million on the same cruel experiment. It doesnt work. It just kicks people off care.
- Georgia is the only state with work requirements for medicaid. It hasnt gone well not enough staff to check on recipients work hours, volunteer hours, school hours. Uploading problems for recipients, throwing recipients off medicaid due to computer glitches.
- As of may 2025, approximately 7,500 of the nearly 250,00 medicaid eligible georgians were enrolled, even though state statistics show 64 of that group is working, something health policy researchers largely attribute to bureaucratic hurdles in the states work verification system.
- Even luke seaborn, the face of georgias medicaid work requirement, got kicked off the program twice due to technical glitches and red tape.
3. Implicaciones Nacionales y Advertencias.
A pesar de los resultados negativos, los legisladores republicanos están promoviendo los programas de Georgia y Arkansas como un modelo nacional para los requisitos federales de Medicaid que entrarán en vigor en 2027, lo que podría amenazar la atención médica de millones de estadounidenses y generar un gasto masivo en sistemas administrativos fallidos.
- Gop lawmakers cite georgias experiment as a model for the federal medicaid work requirements set to take effect in 2027.
- Georgias medicaid work requirement serves as an example of how medicaid work requirements could threaten health care for nearly 16 million people nationwide.
- Georgia and arkansas are a cautionary tale of what the entire nation will soon face. Dont be fooled by the rhetoric. Work requirements only work to kick people off of medicaid.
- The new medicaid work requirements are basically a giveaway to federal contractors like deloitte, accenture, and maximus. Likely to end in super expensive systems that wont work well.