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Greg Jordan-Detamore's avatar

This is really interesting, thanks for sharing!

Two anecdotes:

1. Regarding the impact of separate federal funding streams: Someone once told me that one of the biggest challenges they faced in working with state governments on integrated benefits portals was that they were working across programs (Medicaid, SNAP, etc.) that had separate funding streams, each accompanied by different rules on how much could be spent on tech, and so it’s challenging to figure out (A) how to spend money on a single portal that’s serving programs with different funding streams from different federal departments, and (B) how to comply with the requirements of the separate funding streams. So many downstream consequences of soiled structures at the federal level!

2. I was once talking with folks in a state human-services department who said that one “challenge” that small county governments in their state (where eligibility determination is done at the county level) have is that due to their small populations and thus small staffs, they’re not able to have specialized offices to process each of the separate program applications. Instead one staff member looks at a person’s applications for multiple programs. I said: wait a second, that seems like a huge opportunity—as that staff member can become an expert across multiple programs and also only needs to familiarize themself with a person’s circumstances once but then can make determinations on multiple programs (instead of having separate staff each review the person’s situation). And that perhaps the larger counties might actually learn from the smaller counties on this one and decrease the number of separate program-specific offices!

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