reciprocal edges: 5 edges from 2 new claims
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4 changed files with 30 additions and 5 deletions
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@ -10,8 +10,21 @@ agent: vida
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sourced_from: health/2026-03-27-rwjf-stateline-medicaid-work-requirements-coverage-loss-projections.md
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scope: structural
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sourcer: Robert Wood Johnson Foundation
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supports: ["obbba-medicaid-work-requirements-destroy-enrollment-stability-required-for-vbc-prevention-roi", "vbc-requires-enrollment-stability-as-structural-precondition-because-prevention-roi-depends-on-multi-year-attribution"]
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related: ["obbba-medicaid-work-requirements-destroy-enrollment-stability-required-for-vbc-prevention-roi", "value-based care transitions stall at the payment boundary because 60 percent of payments touch value metrics but only 14 percent bear full risk", "vbc-requires-enrollment-stability-as-structural-precondition-because-prevention-roi-depends-on-multi-year-attribution", "medicaid-work-requirements-cause-coverage-loss-through-procedural-churn-not-employment-screening", "state-snap-cost-shifting-creates-fiscal-cascade-forcing-additional-benefit-cuts", "one-big-beautiful-bill-act", "obbba-snap-cuts-largest-food-assistance-reduction-history-186b-through-2034", "federal-medicaid-work-requirements-project-4-9-10-1m-coverage-losses-by-2028-representing-largest-single-vbc-structural-setback", "double-coverage-compression-simultaneous-medicaid-cuts-and-aptc-expiry-eliminate-coverage-for-under-400-fpl", "medicaid-work-requirements-produce-19-37-percent-compliant-worker-disenrollment-through-documentation-infrastructure-failure"]
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supports:
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- obbba-medicaid-work-requirements-destroy-enrollment-stability-required-for-vbc-prevention-roi
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- vbc-requires-enrollment-stability-as-structural-precondition-because-prevention-roi-depends-on-multi-year-attribution
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related:
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- obbba-medicaid-work-requirements-destroy-enrollment-stability-required-for-vbc-prevention-roi
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- value-based care transitions stall at the payment boundary because 60 percent of payments touch value metrics but only 14 percent bear full risk
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- vbc-requires-enrollment-stability-as-structural-precondition-because-prevention-roi-depends-on-multi-year-attribution
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- medicaid-work-requirements-cause-coverage-loss-through-procedural-churn-not-employment-screening
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- state-snap-cost-shifting-creates-fiscal-cascade-forcing-additional-benefit-cuts
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- one-big-beautiful-bill-act
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- obbba-snap-cuts-largest-food-assistance-reduction-history-186b-through-2034
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- federal-medicaid-work-requirements-project-4-9-10-1m-coverage-losses-by-2028-representing-largest-single-vbc-structural-setback
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- double-coverage-compression-simultaneous-medicaid-cuts-and-aptc-expiry-eliminate-coverage-for-under-400-fpl
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- medicaid-work-requirements-produce-19-37-percent-compliant-worker-disenrollment-through-documentation-infrastructure-failure
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- medicaid-work-requirements-cause-7000-9000-excess-deaths-annually-through-administrative-disenrollment-not-ineligibility
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---
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# Federal Medicaid work requirements project 4.9-10.1M coverage losses by 2028 representing the largest single structural setback to value-based care transition in a decade
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@ -10,7 +10,12 @@ agent: vida
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sourced_from: health/2026-05-01-npr-nebraska-medicaid-work-requirements-day-one.md
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scope: structural
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sourcer: NPR / CBS News
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related: ["regulatory-vacuum-emerges-when-deregulation-outpaces-safety-evidence-accumulation-creating-institutional-epistemic-divergence", "medicaid-work-requirements-produce-19-37-percent-compliant-worker-disenrollment-through-documentation-infrastructure-failure"]
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related:
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- regulatory-vacuum-emerges-when-deregulation-outpaces-safety-evidence-accumulation-creating-institutional-epistemic-divergence
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- medicaid-work-requirements-produce-19-37-percent-compliant-worker-disenrollment-through-documentation-infrastructure-failure
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- state-medicaid-exemption-infrastructure-capacity-determines-work-requirement-mortality-with-90-percent-versus-30-percent-death-aversion
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supports:
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- state-medicaid-exemption-infrastructure-capacity-determines-work-requirement-mortality-with-90-percent-versus-30-percent-death-aversion
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---
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# Medicaid work requirement implementation precedes federal exemption guidance, creating guaranteed wrongful termination gap for medically frail populations
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@ -10,8 +10,14 @@ agent: vida
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sourced_from: health/2026-03-27-rwjf-stateline-medicaid-work-requirements-coverage-loss-projections.md
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scope: structural
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sourcer: Robert Wood Johnson Foundation
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supports: ["obbba-medicaid-work-requirements-destroy-enrollment-stability-required-for-vbc-prevention-roi"]
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related: ["medicaid-work-requirements-cause-coverage-loss-through-procedural-churn-not-employment-screening", "obbba-medicaid-work-requirements-destroy-enrollment-stability-required-for-vbc-prevention-roi", "medicaid-work-requirements-produce-19-37-percent-compliant-worker-disenrollment-through-documentation-infrastructure-failure", "federal-medicaid-work-requirements-project-4-9-10-1m-coverage-losses-by-2028-representing-largest-single-vbc-structural-setback"]
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supports:
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- obbba-medicaid-work-requirements-destroy-enrollment-stability-required-for-vbc-prevention-roi
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related:
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- medicaid-work-requirements-cause-coverage-loss-through-procedural-churn-not-employment-screening
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- obbba-medicaid-work-requirements-destroy-enrollment-stability-required-for-vbc-prevention-roi
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- medicaid-work-requirements-produce-19-37-percent-compliant-worker-disenrollment-through-documentation-infrastructure-failure
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- federal-medicaid-work-requirements-project-4-9-10-1m-coverage-losses-by-2028-representing-largest-single-vbc-structural-setback
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- medicaid-work-requirements-cause-7000-9000-excess-deaths-annually-through-administrative-disenrollment-not-ineligibility
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---
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# Medicaid work requirements produce 19-37% compliant worker disenrollment through documentation infrastructure failure not actual non-compliance
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@ -27,6 +27,7 @@ related:
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- medicaid-work-requirements-cause-coverage-loss-through-procedural-churn-not-employment-screening
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- federal-medicaid-work-requirements-project-4-9-10-1m-coverage-losses-by-2028-representing-largest-single-vbc-structural-setback
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- aca-marketplace-cannot-absorb-medicaid-disenrollment-when-subsidies-expire-simultaneously
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- medicaid-work-requirements-cause-7000-9000-excess-deaths-annually-through-administrative-disenrollment-not-ineligibility
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---
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# OBBBA Medicaid work requirements destroy the enrollment stability that value-based care requires for prevention ROI by forcing all 50 states to implement 80-hour monthly work thresholds by December 2026
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