By NextBestFitState Medicaid agency wind-down
Grants to states to redeploy or separate eligibility staff and decommission systems.
Result
$4.0B
Per resident, per year
$12
÷ 341.1M people
Per household
$30
÷ 132.2M households
How it's calculated
| # | Step | Arithmetic | Value |
|---|---|---|---|
| 1 | Severance & retraining for state eligibility staff | 30,000 × $40,000 | $1.2B |
| 2 | System decommissioning | 50 × $36,000,000 | $1.8B |
| 3 | Data migration to UHA | $1B | $1.0B |
| 4 | Total one-time cost | $4.0B |
By year
| Year 0 | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | Year 6 |
|---|---|---|---|---|---|---|
| $0.0B | $0.5B | $1.0B | $1.0B | $1.0B | $0.5B | $0.0B |
Inputs used
| Input | Kind | Value |
|---|---|---|
| State eligibility staff separated or redeployed | estimate, medium confidence | 30,000 |
| Severance & retraining per staff member | estimate, medium confidence | $40,000 |
| State Medicaid systems run in parallel | data, high confidence | 50 |
| Decommissioning cost per state system | estimate, medium confidence | $36,000,000 |
| Data migration to UHA | estimate, medium confidence | $1.0B |
Trade-off: Mostly Years 2–4.