Luke Farrell
@lukef.bsky.social
Built stuff for working people and solved crises @WhiteHouse @USDS @Google 🚀
Eternally grateful for my USDS colleagues that drove around the country in a van with me for the most exhausting and fulfilling year of my life ❤️
November 10, 2025 at 7:06 PM
Eternally grateful for my USDS colleagues that drove around the country in a van with me for the most exhausting and fulfilling year of my life ❤️
Huge thanks to the great team at Better Government Labs for coauthoring the research out in Health Affairs @donmoyn.bsky.social @pamherd.bsky.social @giannella.bsky.social @jbarofsky.bsky.social and for allowing me to moonlight as blogger.
Open Access Paper: www.healthaffairs.org/doi/full/10....
Open Access Paper: www.healthaffairs.org/doi/full/10....
Interventions To Automate Medicaid Renewals Reduce Procedural Denials And Increase Coverage | Health Affairs Journal
Burdensome Medicaid renewal processes are a known source of coverage loss among eligible people. In spring 2023, the pause in Medicaid disenrollment resulting from the COVID-19 public health emergency...
www.healthaffairs.org
November 10, 2025 at 7:06 PM
Huge thanks to the great team at Better Government Labs for coauthoring the research out in Health Affairs @donmoyn.bsky.social @pamherd.bsky.social @giannella.bsky.social @jbarofsky.bsky.social and for allowing me to moonlight as blogger.
Open Access Paper: www.healthaffairs.org/doi/full/10....
Open Access Paper: www.healthaffairs.org/doi/full/10....
The CBO estimates that 5M people will lose their Medicaid as work requirements take effect.
States must build in-house tech capacity now to protect their enrollees through the coming crisis and beyond.
The challenge ahead is enormous and states need the capacity to meet the moment.
States must build in-house tech capacity now to protect their enrollees through the coming crisis and beyond.
The challenge ahead is enormous and states need the capacity to meet the moment.
November 10, 2025 at 7:06 PM
The CBO estimates that 5M people will lose their Medicaid as work requirements take effect.
States must build in-house tech capacity now to protect their enrollees through the coming crisis and beyond.
The challenge ahead is enormous and states need the capacity to meet the moment.
States must build in-house tech capacity now to protect their enrollees through the coming crisis and beyond.
The challenge ahead is enormous and states need the capacity to meet the moment.
Our bet paid off - across red and blue states representing over 40% of the nation's Medicaid population, we doubled automatic renewal rates and halved the number of people losing coverage for procedural and paperwork reasons.
Quietly across the country, millions of people kept their health care.
Quietly across the country, millions of people kept their health care.
November 10, 2025 at 7:06 PM
Our bet paid off - across red and blue states representing over 40% of the nation's Medicaid population, we doubled automatic renewal rates and halved the number of people losing coverage for procedural and paperwork reasons.
Quietly across the country, millions of people kept their health care.
Quietly across the country, millions of people kept their health care.
We set out to tackle this problem head on by showing up in communities across the country and automating Medicaid renewals wherever we could.
We made a big bet that directly providing technical capacity to state governments in a crisis could move the needle.
We made a big bet that directly providing technical capacity to state governments in a crisis could move the needle.
November 10, 2025 at 7:06 PM
We set out to tackle this problem head on by showing up in communities across the country and automating Medicaid renewals wherever we could.
We made a big bet that directly providing technical capacity to state governments in a crisis could move the needle.
We made a big bet that directly providing technical capacity to state governments in a crisis could move the needle.
After the pandemic emergency ended in 2023, millions were at risk of losing their healthcare not because they were ineligible, but because of infuriating paperwork and broken systems.
Today, work requirements threaten to make the situation even worse for millions of Americans.
Today, work requirements threaten to make the situation even worse for millions of Americans.
November 10, 2025 at 7:06 PM
After the pandemic emergency ended in 2023, millions were at risk of losing their healthcare not because they were ineligible, but because of infuriating paperwork and broken systems.
Today, work requirements threaten to make the situation even worse for millions of Americans.
Today, work requirements threaten to make the situation even worse for millions of Americans.
Proud to have been quoted alongside excellent reporting from Sarah Kliff, @sangerkatz.bsky.social, and @asmaaelk.bsky.social
November 3, 2025 at 2:25 PM
Proud to have been quoted alongside excellent reporting from Sarah Kliff, @sangerkatz.bsky.social, and @asmaaelk.bsky.social
The government is basically transferring taxpayer dollars from low-income children's healthcare to a billion dollar data broker.
As millions of people face losing their health coverage because of Republican’s new red tape, Equifax is extracting millions from states to verify employment.
As millions of people face losing their health coverage because of Republican’s new red tape, Equifax is extracting millions from states to verify employment.
November 3, 2025 at 2:21 PM
The government is basically transferring taxpayer dollars from low-income children's healthcare to a billion dollar data broker.
As millions of people face losing their health coverage because of Republican’s new red tape, Equifax is extracting millions from states to verify employment.
As millions of people face losing their health coverage because of Republican’s new red tape, Equifax is extracting millions from states to verify employment.
Big gov contractors stand to make millions $$ off of new requirements designed to strip healthcare from working people. It’s a tax payer funded handout to consultants.
“This is going to be a huge payday for government contractors,”…“They get to build something once and then sell it 25 times.”
“This is going to be a huge payday for government contractors,”…“They get to build something once and then sell it 25 times.”
June 30, 2025 at 1:17 PM
Big gov contractors stand to make millions $$ off of new requirements designed to strip healthcare from working people. It’s a tax payer funded handout to consultants.
“This is going to be a huge payday for government contractors,”…“They get to build something once and then sell it 25 times.”
“This is going to be a huge payday for government contractors,”…“They get to build something once and then sell it 25 times.”
@donmoyn.bsky.social @pamherd.bsky.social @jdcmedlock.bsky.social calling all haters of administrative burden
I’m not a poster but I hate Medicaid work requirements enough to write about how bad they are in Josh Hawley’s hometown newspaper 😤
I’m not a poster but I hate Medicaid work requirements enough to write about how bad they are in Josh Hawley’s hometown newspaper 😤
June 6, 2025 at 2:04 PM
@donmoyn.bsky.social @pamherd.bsky.social @jdcmedlock.bsky.social calling all haters of administrative burden
I’m not a poster but I hate Medicaid work requirements enough to write about how bad they are in Josh Hawley’s hometown newspaper 😤
I’m not a poster but I hate Medicaid work requirements enough to write about how bad they are in Josh Hawley’s hometown newspaper 😤
There is so much more to say, but for now I’m thankful for the state Medicaid workers preparing to work late nights to keep as many eligible people covered as they can - despite the impossible situation Republicans are manufacturing
June 6, 2025 at 1:19 PM
There is so much more to say, but for now I’m thankful for the state Medicaid workers preparing to work late nights to keep as many eligible people covered as they can - despite the impossible situation Republicans are manufacturing
Its a policy *designed to fail*
And failure will push more people off their healthcare – working adults, kids, seniors, students, people with disabilities – no matter if they are dealing with a new baby or cancer diagnosis.
And failure will push more people off their healthcare – working adults, kids, seniors, students, people with disabilities – no matter if they are dealing with a new baby or cancer diagnosis.
June 6, 2025 at 1:19 PM
Its a policy *designed to fail*
And failure will push more people off their healthcare – working adults, kids, seniors, students, people with disabilities – no matter if they are dealing with a new baby or cancer diagnosis.
And failure will push more people off their healthcare – working adults, kids, seniors, students, people with disabilities – no matter if they are dealing with a new baby or cancer diagnosis.
My coauthor Julie Siegel and I worry even that grim prognosis may be too optimistic. State’s are not ready for these new requirements and many states may reach a point of failure. Website crashing, call centers down, paperwork lost, and offices shuttered 💥
June 6, 2025 at 1:19 PM
My coauthor Julie Siegel and I worry even that grim prognosis may be too optimistic. State’s are not ready for these new requirements and many states may reach a point of failure. Website crashing, call centers down, paperwork lost, and offices shuttered 💥