Administrative Hurdles and Shifting Perceptions: Exploring the Impact on Medicaid and College Enrollment

Ben H.

Hatched by Ben H.

Jul 04, 2023

4 min read


Administrative Hurdles and Shifting Perceptions: Exploring the Impact on Medicaid and College Enrollment


In recent times, two significant issues have emerged that are reshaping the landscape of healthcare and education in the United States. On the one hand, administrative hurdles are driving Medicaid losses during redeterminations, resulting in the removal of numerous beneficiaries from the program. On the other hand, a hot labor market and changing perceptions about the value of a college degree have led to more high-school graduates forgoing higher education in favor of blue-collar job opportunities. This article aims to delve into these interconnected issues, examining their causes, consequences, and potential solutions.

Administrative Hurdles in Medicaid Redeterminations:

Across states like Arkansas, Florida, and Indiana, the process of eligibility redeterminations within Medicaid has inadvertently led to the loss of coverage for hundreds of thousands of individuals. Shockingly, more than 80% of those affected are being removed from the program due to administrative reasons, such as outdated contact information. This reveals a significant flaw in the system, highlighting the need for streamlined administrative processes to ensure that eligible individuals do not fall through the cracks.

To address this issue, there have been discussions surrounding the prospect of partnering with major healthcare players, commonly referred to as the "big five" (UNH, Humana, CNC, CVS, ELV). By leveraging their expertise and resources, it may be possible to develop innovative solutions that streamline administrative procedures, ensuring that beneficiaries have a seamless experience when it comes to redeterminations. Such collaborations could potentially revolutionize the way Medicaid operates, minimizing losses and ensuring that individuals receive the vital healthcare coverage they need.

Shifting Perceptions: College Enrollment Decline:

In a labor market that offers brighter prospects for blue-collar jobs, the college enrollment rate for recent high-school graduates has seen a decline. According to the Labor Department data, the college enrollment rate dropped to 62% last year from 66.2% in 2019, with the figure peaking at 70.1% in 2009. This shift can be attributed to several factors, including a historically strong labor market for less-educated workers and changing perceptions about the value of a college degree.

A Wall Street Journal-NORC poll conducted earlier this year revealed that a majority of Americans no longer view a college degree as worth the cost. This declining confidence in the value of higher education has undermined the long-standing belief in the American dream, where a college degree was seen as a gateway to success. Additionally, companies are reevaluating the necessity of many white-collar roles, further adding uncertainty to the job market for college graduates.

Actionable Advice:

  • 1. Enhancing Administrative Efficiency: State Medicaid programs should prioritize updating contact information regularly to ensure seamless communication with beneficiaries. Implementing automated systems for redeterminations and leveraging technological advancements can significantly reduce administrative hurdles and prevent unnecessary coverage losses.
  • 2. Promoting Vocational Education: To bridge the gap between blue-collar job opportunities and high-school graduates, educational institutions and policymakers should emphasize vocational education programs. By highlighting the benefits and career prospects in skilled trades, young individuals can make informed decisions about their educational paths and explore alternative routes to success.
  • 3. Emphasizing the Value of Soft Skills: While the labor market may be favoring blue-collar jobs, it is crucial to recognize the long-term benefits of acquiring strong soft skills. Encouraging high-school graduates to pursue internships, apprenticeships, or part-time jobs that develop interpersonal and problem-solving abilities can enhance their employability in an ever-evolving job market.


The intertwining issues of administrative hurdles in Medicaid redeterminations and the declining college enrollment rate among high-school graduates shed light on the evolving landscape of healthcare and education in the United States. To address these challenges, it is imperative to streamline administrative processes within Medicaid, ensuring that eligible individuals do not lose their coverage due to procedural obstacles. Simultaneously, promoting vocational education and emphasizing the value of soft skills can empower young individuals to make informed decisions about their educational and career paths. By addressing these issues head-on, we can work towards a future where access to healthcare and educational opportunities are available to all, regardless of administrative barriers or shifting perceptions.

Hatch New Ideas with Glasp AI 🐣

Glasp AI allows you to hatch new ideas based on your curated content. Let's curate and create with Glasp AI :)