States are implementing Medicaid work requirements right now. Lessons from early pilots reveal important insights. Effective implementation demands cross-sector expertise now. This is the window to shape how change feels when it arrives on our block.
Medicaid isn’t just policy—it’s being designed every day. This edition explores what’s coming in 2026, why implementation takes time, and how technologists, caregivers, and community leaders are already shaping public healthcare systems.

