Navigating Medicaid: Experimental Evidence on Administrative Burden and Coverage Loss

Rebecca Myerson, Allison Espeseth and Laura Dague

No 34191, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: In a large-scale field experiment, we tested methods to inform Medicaid enrollees with an imminent renewal deadline about available assistance. Supplementing written outreach – which was sent to all beneficiaries – with a call reminding them about available assistance increased Medicaid renewal by 1 percentage point (1.5%), and reduced procedural denials by 1.1 percentage points, including significant effects for tribal members, children, lower-income people, and people with chronic disease. These findings suggest administrative frictions reduce coverage for eligible people, including those with chronic disease. The data also provide practical lessons for outreach.

JEL-codes: C93 D73 H75 I13 I38 (search for similar items in EconPapers)
Date: 2025-08
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