What does procedural disenrollment cost you?
Under H.R.1 work requirements, eligible members will fall off coverage for paperwork reasons — and every lost member is lost capitation premium. Estimate your annual exposure in 30 seconds.
Your inputs
Roughly your expansion-adult population in affected states.
Blended PMPM premium you receive per enrolled member.
Share of subject members expected to lose coverage for procedural (non-eligibility) reasons. The Arkansas program disenrolled roughly 1 in 4 before it was halted.
Share of procedural loss that plain-language, multilingual, exemption-focused outreach can prevent.
Recoverable with a strong engagement layer:
$— / year
Illustrative estimate for planning only, based on your inputs and publicly reported outcomes from prior work-requirement programs. Not a guarantee of results. We'll build a defensible, plan-specific model with you in a Readiness Audit.