Transforming Service Access in Massachusetts

The current benefit system in Massachusetts is fragmented and inefficient, leading to low utilization rates. Residents struggle to navigate the complex application process, while caseworkers are overwhelmed.

To solve this, a centralized resident database and integrated benefit application system could be implemented. This would enable proactive service recommendations, streamlined applications, and automated benefit renewals.

The goal of the proposed system is to increase access to services for residents and improve efficiency for government agencies. By simplifying the process and providing personalized guidance, the system could lead to higher benefit utilization rates and improved program outcomes.

Challenges of Accessing Services in Massachusetts

The Commonwealth of Massachusetts demonstrates a strong commitment to its residents by investing substantial resources in providing a wide array of services, ranging from healthcare and food assistance to housing and educational programs. The full spectrum of these services can be explored on the official Mass.gov website. However, despite these efforts, a significant portion of eligible residents, over 50%, are not receiving the benefits they qualify for, such as MassHealth and SNAP.1 2

One of the primary reasons for this gap is the difficulty in navigating the complex network of available services. Residents often face challenges in identifying programs that are relevant to their needs, understanding the eligibility criteria, and gathering the necessary information and documents to apply. The current service application process, which often involves manual data entry and document uploads on multiple agency-specific portals, can be time-consuming and overwhelming.

Current Application Process

Furthermore, the high caseloads faced by caseworkers can lead to delays in processing applications and providing much-needed support to residents. This creates a frustrating experience for individuals seeking assistance and hinders the effectiveness of the programs themselves.

Although many residents have previously applied for benefits, they often feel surprised and caught off guard by the verification requirements. Without clear and customized guidance, residents find themselves guessing what is needed and submitting wrong or outdated paperwork.3

Streamlining Access to Public Benefits in Michigan

Common Data Elements for MA Residents

The creation of a centralized database containing common data elements of Massachusetts residents could significantly improve the current situation. Residents would need to provide the information only once and this database would enable a more proactive and efficient approach to service delivery, where eligible residents are automatically informed about and even can be pre-approved for relevant programs.

From a government perspective, a unified record of MA residents would streamline the eligibility verification process, reduce administrative burdens, and enable more targeted and effective program implementation.

The Commonwealth of Massachusetts already collects essential identification information, including names, birth dates, Social Security numbers, and addresses, through the driver's license and state ID registration process. By incorporating additional data elements like income and household information, this core dataset could be leveraged to assess eligibility for a wide range of benefits and services.

Data required for major MA benefit application

The Power of a Centralized Resident Database

Introduce Mila - Massachusetts Integrated Life Assistant

We propose an integrated benefit management system, called Mila, that utilizes a single resident database to enhance the user experience for both residents and agencies. This approach could serve as a model for improving the delivery of other services provided by Massachusetts in the future.

Streamlined Application Process with Resident Database

Proactive Service Recommendations

The system would actively analyze the information about residents in the database. By doing so, it could identify and suggest benefits they might be eligible for but haven't yet applied to. This saves residents the time and effort of having to search for programs themselves.

Simplified Application Process

When a resident wants to apply for a benefit, the system would pre-populate the application form with their data already stored in the database. Residents would then only need to provide additional information specific to that particular program. This significantly simplifies the application process.

Renew your benefits in a snap

The platform could automate the process of renewing benefits, sending timely reminders to residents and handling re-enrollment paperwork, thus reducing administrative work and preventing lapses in coverage.

Anticipated Impact

A service/benefit management system built on a centralized MA resident database could offer the following advantages

For MA Resident

  • Greater Access to Services: Proactive recommendations and a simplified application process would make it easier for residents to discover and access a wider range of services they qualify for.
  • Timely Communication and Support: The system could provide real-time updates and notifications about benefit eligibility, renewal deadlines, and other important information, ensuring residents stay informed and receive the support they need.

For Government/ Agencies

  • Increased Efficiency and Resource Optimization: Automating eligibility verification and renewal processes would reduce administrative costs and allow staff to focus on other critical tasks.
  • Data-Driven Insights: The centralized database would provide valuable data on program usage and effectiveness, enabling agencies to make informed decisions about program improvements and resource allocation.

Footnotes

Here is a record of the efforts made so far to address the service gap in Massachusetts in response to the Integrated Eligibility System (IES) initiative for the Commonwealth of Massachusetts.4

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Authors

Malia Hong, GoInvo

Malia is a designer with a background in industrial design and human-centered technology design. Her primary focus is healthcare and socially responsible design, effectively advocating for individuals confronting adversity. Additionally, she concentrates on incorporating gamification to enhance interaction engagement. She has a bachelor's degree in ID from the Rhode Island School of Design and is pursuing a master's degree in Design for Interactions at Carnegie Mellon University.

Sue Park, GoInvo

Sue Park joined GoInvo in 2024 with a background in industrial design and human-computer interaction. Her previous work includes designing intuitive interfaces for the healthcare and fintech industries. She holds a BS in Industrial Design from Korea Advanced Institute of Science & Technology and an MS in Information from the University of Michigan.

Eric Benoit, GoInvo

Eric Benoit is the Creative Director of GoInvo, leading the studio’s UX creation process from concept to production. Eric works as an interaction designer, experience designer, and information architect, designing better products by thoroughly understanding user behaviors, expectations, and goals. Eric’s background and love for design in the context of human experience helps him transform complex information systems in healthcare and the enterprise into responsive and adaptive human-centered designs.

Juhan Sonin, GoInvo

Juhan Sonin leads GoInvo with expertise in healthcare design and system engineering. He’s spent time at Apple, the National Center for Supercomputing Applications (NCSA), and MITRE. His work has been recognized by the New York Times, BBC, and National Public Radio (NPR) and published in The Journal of Participatory Medicine and The Lancet. He currently lectures on design and engineering at MIT.

References

  1. Massachusetts Department of Transitional Assistance. (2023). Annual Department of Transitional Assistance Organizational Report.: https://www.mass.gov/doc/annual-department-of-transitional-assistance-organizational-report-november-2023/download
  2. Kelsey Waddill. (2023). 4 Barriers to Coverage Among Uninsured Individuals in Massachusetts. Retrieved September 2, 2024, from: https://healthpayerintelligence.com/news/4-barriers-to-coverage-among-uninsured-individuals-in-massachusetts
  3. Civilla and Code for America. (2019). Streamlining Access to Public Benefits in Michigan: https://s3-us-west-1.amazonaws.com/codeforamerica-cms1/documents/Streamlining-Access-Report_Integrated-Benefits-Initiative-Civilla_Code-for-America_March-2019.pdf
  4. The Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid. (2015). Integrated Eligibility Implementation Plan: https://www.mass.gov/doc/integrated-eligibility-implementation-plan-october-2015