Deloitte, a prominent global consultancy, has faced scrutiny for its pivotal role in managing Medicaid eligibility systems across the United States. With contracts worth billions of dollars, Deloitte is tasked with modernizing state systems designed to determine who qualifies for Medicaid, a crucial lifeline for millions of Americans. However, investigations and audits reveal significant issues plaguing these systems, affecting beneficiaries nationwide.
Reports from state audits and legal filings highlight widespread errors in Deloitte-operated systems, including incorrect eligibility determinations, delayed paperwork, and system failures that disrupt essential services. These problems have resulted in beneficiaries losing coverage, sometimes for extended periods, with serious consequences for their health and well-being. Despite Deloitte's assertion that it works closely with state agencies and that system issues are addressed promptly, critics argue that recurring errors demonstrate systemic flaws that persist across different states. Efforts to address these issues vary by state, with some renegotiating contracts and implementing oversight measures. However, challenges persist as states navigate the complex task of ensuring accurate and reliable Medicaid eligibility determinations amidst increasing enrollment and evolving healthcare needs.
