Janis is 63 years old. She lives alone on a small property in a rural community, where she tends a vegetable garden each summer. She is not particularly computer-savvy and has never navigated a federal eligibility portal.
For most of her adult life, healthcare was something Jan delayed or avoided. She worked steadily through most of her adult life, took care of family members when needed, and learned to be careful with money and expectations. In her late fifties, Medicaid finally provided something she had not had before - continuity. Blood pressure medication she could refill without fear of cost, an annual visit with a primary care provider who knew her history, and the assurance that when something felt wrong, she could call without wondering whether the call itself would become a financial problem.
Jan relies entirely on Medicaid for her healthcare, her blood pressure medication, her annual wellness visit, and the occasional trip to see her PCP when something feels wrong. Her fixed income, which includes Social Security and modest retirement savings, places her at 138% of the federal poverty level, squarely in the gap left by the erosion of enhanced premium tax credits.She has managed until recently without much help and without much room for error. She has done everything right. The Medicare coverage she has been waiting for her entire adult life to reach is two years away. Two years is a long time to hold your breath.
Distributed Care
Medication Adherence & Agentic Workflow
