AI vs. Red Tape: How Automation Is Saving Medicaid Margins
As Medicaid cuts loom and administrative costs soar, CFOs are turning to AI to protect margins, streamline operations, and expand access for vulnerable populations.
Uncertainty is an understatement for healthcare right now. From general economic instability to looming Medicaid cuts, CFOs are looking around every corner for any stabilizing financial strategy.
At Saint Peter's University Hospital, a partnership with Escher Health's AI platform led to a 162% increase in Medicaid enrollment and a $13.4 million improvement in revenue. The program also resulted in:
- Three- to four-times more self-service by patients
- 40% greater staff efficiency
- Shorter follow-up time
Medicaid's increased administrative burden, including work requirements and biannual eligibility checks, can hinder new eligible members from enrolling.
Analysis by Marie DeFreitas, October 13, 2025
Author's summary: AI helps Medicaid margins.