Shifting Administrative Burden to the State: The Case of Medicaid Take‐Up

• DOI: 10.1111/puar.12114
• Publication Date: 2013-08-20T13:33:58Z
• Authors: Pamela Herd; Thomas DeLeire; Hope Harvey; Donald P. Moynihan
• Keywords: Bureaucracy; Time limit

Administrative burden is an individual's experience of policy implementation as onerous. Such burdens may be created because a desire to limit payments ineligible claimants, but they also serve take‐up benefits by eligible claimants. For citizens, this occur through learning about program; complying with rules and discretionary bureaucratic behavior participate; the psychological costs participating in unpopular program. Using mixed‐method approach, authors explain process changes that reduced individual demonstrate how resulted increased Medicaid state Wisconsin. The findings inform planned expansion under Patient Protection Affordable Care Act. A key design principle for other means‐tested programs it possible increase program while maintaining integrity shifting administrative from citizen .