Ben Childers
benchilders.bsky.social
Ben Childers
@benchilders.bsky.social
Interested in an intersectional approach to design, strategy, and innovation to transform mission-driven organizations to meet the demands of their stakeholders in the 21st century and beyond.

Working to make the world a better place.
I think what’s happening here is approaching problem solving from different directions. My stated approach is to build a small experiment and see if this COULD be helpful.

Doesn’t mean we can’t work to find other solutions, you know?
July 28, 2025 at 12:53 PM
I think the mistake you’re making here is thinking that both can be happening. Let’s work to fix the system while also experimenting with new technologies and tools.
July 28, 2025 at 10:54 AM
Then, the form is presented back the beneficiary to check for errors. Lastly, either the AI agent or the beneficiary can then submit the redetermination paperwork.

And, with semi-annual income checks replacing annual income checks, that information can be collated from the prior work.
July 28, 2025 at 1:42 AM
Here’s what I’m imagining.
Person lives in a state where the redetermination period is monthly.

That beneficiary can simply take screenshots and photos of their 20 hours a week of work, volunteering, school, etc.

A fine tuned AI can compile all that information onto the appropriate form 1/2
July 28, 2025 at 1:42 AM
Honestly, you’d be surprised how hard states make it. And the fact of the matter is that the system is on longer as is.
July 28, 2025 at 12:03 AM
I’ll check it out. Thanks.

But this does feel like the sort of thing the old US Digital Services department would have worked on.
July 28, 2025 at 12:02 AM
Not trying to replace anyone over here. Just looking at the shifting landscape and thinking through what we do when those jobs are simply eliminated.
July 27, 2025 at 9:40 PM
I just keep coming back to the time tax folks pay for these benefits that they are owed. If we could create products to reduce that time tax I just FEEL like it would be worth. No data to back up that feeling though.
July 27, 2025 at 9:37 PM
Sorry got a bit lost. Who is the they in your reply?
July 27, 2025 at 8:57 PM
Oof. Probably too true.

I’m just nervous for the folks I know back in Ohio that are going to get screwed over and figured some help is better.

What if the tool didn’t submit the form and the beneficiary had to?
July 27, 2025 at 8:56 PM
But it could be helpful for people going through enrollment or re-enrollment to have a navigator through the process. And, since we are losing funding for those positions why not try to replace it with a trained AI agent?
July 27, 2025 at 8:13 PM
That’s a fair point. But also doesn’t stop a small experiment from starting to see if it could be helpful and keep more folks on Medicaid.
July 27, 2025 at 8:11 PM
But if we can make it easier for folks to stay on Medicaid we should do that, right? Fine tuning a model to help with this one specific task is what narrow AI is designed to do well.

If there is some giant thing I’m missing here please let me know.
July 27, 2025 at 7:36 PM
Why not have the AI simply help with filling out forms and re-enrollment? Doesn’t mean the AI needs to be involved in any part of the decision making process.
July 27, 2025 at 7:29 PM
Ah. That’s a bummer. Might be better to adjust that language that if paying cash you cannot transfer for free. On the screen share I sent that isn’t very clear.
July 8, 2025 at 10:19 PM