Discover how the computer systems managed by consulting giant Deloitte, crucial for Medicaid and government benefits, often face costly errors that jeopardize access for millions of Americans. These errors can take years and hundreds of millions of dollars to rectify, leaving beneficiaries vulnerable to losing essential services.
The necessary changes to address issues in Deloitte-run eligibility systems can lead to ballooning government costs, which can impede the process of fixing errors and cause delays in supporting beneficiaries.
This issue is widespread nationwide, with Deloitte securing contracts for eligibility systems in 25 states, worth over $6 billion. These contracts establish Deloitte’s dominance in the government benefits sector, impacting programs beyond Medicaid, such as safety-net initiatives dependent on accurate eligibility assessments.
State systems operated by Deloitte play a pivotal role in determining beneficiaries’ access to critical services, ranging from healthcare to food assistance. The disruptions caused by errors can have severe consequences, underscoring the urgency of addressing systemic flaws.
Elizabeth Edwards of the National Health Law Program has raised concerns about ongoing errors and deceptive trade practices by Deloitte, prompting calls for regulatory scrutiny.
Despite challenges, Deloitte executive Kenneth Smith emphasizes the state’s authority over Medicaid technology decisions and refutes claims of inherent flaws in the eligibility systems.
Issues with Deloitte-run systems have also surfaced in individual states like Michigan and Tennessee, underscoring the need for systemic reforms and accountability in ensuring timely access to benefits.
These revelations shed light on the intricate dynamics between contractors and government entities, highlighting the need for transparency and efficiency in managing eligibility systems.
As states navigate complex systems and contract amendments with Deloitte, advocacy groups and legal challenges are prompting critical examinations of program integrity and beneficiary rights.
Subscribe to KFF Health News’ free Morning Briefing for more insights into the evolving landscape of government benefits and eligibility systems.