Bridging the Healthcare Gap: AI's Role in Expanding Access to Medicaid & CHIP

Author(s)	Uday Bag
Country	United States
Abstract	Bridging the Healthcare Gap explores how artificial intelligence technologies are revolutionizing Medicaid and CHIP administrations to expand healthcare access for vulnerable populations. The article examines how AI-driven eligibility engines, automated fraud detection, and robotic process automation are addressing bureaucratic inefficiencies that have historically created barriers to coverage. Through case studies of major health insurers implementing intelligent automation, the article demonstrates how these technologies reduce administrative delays, minimize coverage disruptions, and streamline enrollment processes. By analyzing both technological innovations and their practical applications, this article provides healthcare administrators and policymakers with a comprehensive understanding of how AI can transform public health insurance programs to ensure more equitable healthcare distribution while maintaining program integrity and reducing operational costs.
Keywords	Keywords: Healthcare Accessibility, Artificial Intelligence, Medicaid Automation, Eligibility Determination, Administrative Efficiency
Field	Computer
Published In	Volume 16, Issue 2, April-June 2025
Published On	2025-04-02
DOI	https://doi.org/10.71097/IJSAT.v16.i2.3112

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International Journal on Science and Technology