Original Investigation

Administrative Burden Documented in Medicaid Care Coordination

JAMA Health Forum 10.1001/jamahealthforum.2026.2932

August 28, 2026 at 11:00 AM EDT

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In this cohort study, administrative burdens in Medicaid varied markedly by type in both prevalence and patient time cost. Natural language processing of existing care coordination notes offers a scalable way for managed care plans and state Medicaid agencies to monitor which burdens are most common and most time-consuming.

Corresponding Author: Sanjay Basu, MD, PhD, Waymark, 548 Market St, San Francisco, CA 94104 (sanjay.basu@waymarkcare.com).

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