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What does it take to move beyond Medicaid compliance and create healthcare experiences that truly work for members?
Meeting regulatory requirements is essential, but meaningful healthcare transformation requires more than checking boxes. It means understanding the people behind the policies, recognizing the barriers they face, and designing solutions that support better health outcomes in everyday life.
In this episode of the Human Resilience Podcast, hosts Bob Gold and Shelley Schoenfeld welcome Chani Seals, Associate Principal at Avalere Health, to explore the evolving Medicaid landscape and what it takes to bridge the gap between healthcare policy and real-world member needs.
Drawing on her experience in federal healthcare programs, disability advocacy, and healthcare policy, Chani discusses how shifting regulations impact managed care organizations and the individuals they serve. Together, they examine why improving Medicaid member engagement requires a deeper understanding of social drivers of health, coordinated care, and the everyday challenges that influence access and outcomes.
In this episode, you’ll hear about:
- Moving beyond compliance: Why successful Medicaid strategies must focus on member experiences and outcomes, not just regulatory requirements.
- Addressing real-world barriers: How transportation, food insecurity, housing instability, employment, and digital access affect healthcare engagement.
- Connecting policy to people: Why understanding members’ daily challenges is essential to creating policies and programs that work.
- Breaking down healthcare silos: How better coordination across health plans, providers, and social support programs can improve access and continuity of care.
As Chani explains, “At the heart of it all, shaping policy requires people to understand everyday people’s challenges.”
The conversation highlights an important shift in healthcare: moving from administering benefits and meeting requirements to building systems that recognize the whole person.
For Medicaid health plans and healthcare leaders, the opportunity is not simply to help members navigate coverage, but to create more accessible, coordinated, and personalized experiences that empower people to take an active role in their health.
Listen now for a thought-provoking conversation about putting people at the center of Medicaid strategy, and helping members not just maintain coverage, but thrive.
Hosts
- Bob Gold, Founder & Chief Behavioral Technologist, GoMo Health
- Shelley Schoenfeld, Chief Marketing Officer, GoMo Health
Featured Expert
- Chani Seals, Associate Principal, Avalere Health
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