Series
Implementation Challenges
Articles in the Implementation Challenges series.
MRWR-13A
The Documentation Gap
When Compliance Exceeds Verification
Darnell Williams clocks in at 6:47 AM at the Wendy's on Martin Luther King Boulevard, thirteen minutes before his shift officially begins because that's when the morning manager …
MRWR-13B
When December 2026 Won't Work
Extension Requests and Interim Status
Dr.
MRWR-13C
Article 13C: Behavioral Economics of Compliance
Designing Systems That Help People Succeed
Maria has the documents.
MRWR-13D
Article 13D: Gaming, Fraud, and Program Integrity
When Anti-Fraud Measures Cause More Harm Than Fraud
Jennifer has been a program integrity analyst for the state Medicaid agency for eleven years.
MRWR-13E
Article 13E: Four Work Requirements, One Person
The Cross-Program Burden
Keisha Davis maintains a spiral notebook with color-coded tabs.
MRWR-13F
Article 13F: Technology Vendor Landscape
Build vs. Buy Analysis for States
The spreadsheet on Janet Chen's desk told a story of impossible arithmetic.
MRWR-13G
Article 13G: The Marketplace Fallback Problem
Coverage Transitions When Work Requirements Fail
Latisha reviews her options on healthcare.gov for the third time, hoping the numbers will somehow change.