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Series 7: The Architecture of Resilience - Designing Sustainable Medicaid Work Requirements

A strategic framework for transforming administrative complexity into an automated, stable, and operationally resilient safety net.

1/21/2026
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Series 6: How States and D-SNPs Must Prepare to Protect Expansion Duals

Why states and health plans must act now to protect expansion duals from coverage gaps as Medicaid work requirements take effect in 2027.

1/14/2026
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Series 5: Why Employer Roles and Labor Realities Will Define Success in the New World of Work Requirements

Medicaid work requirements will make employers key players in healthcare access, demanding flexible policies that reflect real-world labor and verification challenges.

1/6/2026
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Blog

Series 4: Building Medicaid Redetermination Infrastructure for Expansion Adults

Exploring the urgent challenges and solutions for building Medicaid redetermination infrastructure for expansion adults before January 2027.

12/30/2025
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Blog

Series 3: Navigating Medicaid Work Requirements and Care Continuity

A practical guide for Medicaid managed care organizations to adapt to work requirements, manage enrollment volatility, and protect health outcomes under challenging conditions.

12/22/2025
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Blog

The Human Layer: Agency, Advocacy, and Community Engagement

Systems don't implement themselves — people make them work, or make them fail.

12/19/2025
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Exemption Systems and the Boundaries of Obligation

Who shouldn't have to work, who decides, and how do we know?

12/17/2025
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Blog

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.

12/15/2025
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The Systems View: How Work Requirements Create Unpredictable Outcomes

Work requirements create feedback loops where documentation and compliance pressures amplify complexity, shift focus to short-term fixes, and deepen instability for those most in need.

12/12/2025
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The New Stakeholders: Who Implements the Distributed Social Contract

When work becomes a condition of healthcare coverage, responsibility spreads far beyond government agencies.

12/10/2025
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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.

12/8/2025
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Abner Mason Champions Modernizing Communication for Medicaid Members

The Reconciliation Act of 2025 signed into law in July 2025 enables the simplest, most effective tools to reach members: text messaging.

7/31/2025
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At GroundGame.Health, we manage the complex connections between health plans, providers, employers, community-based organizations (CBOs), and other stakeholders to both solve unmet social needs and close gaps in care for people across the country. By facilitating personalized, culturally tailored, human-to-human interactions and experiences, we make the biggest difference in people's lives.

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