Can a Medicaid plan that requires work succeed? First year of Georgia experiment is not promising

Georgia Gov. Brian Kemp, left, and Centers for Medicare and Medicaid Services Administrator Seema Verma, right, sign healthcare waivers at the state Capitol in Atlanta, Oct. 15, 2020. Pathways to Coverage launched last July and is the only Medicaid plan in the country that requires beneficiaries to work or engage in other activities to get coverage. As of June, it had about 4,300 members. (AP Photo/Jeff Amy, File)

By now, Georgia officials expected their new Medicaid plan, the only one in the nation with a work requirement, to provide health insurance to 25,000 low-income residents and possibly tens of thousands more.

But a year since its launch, Pathways to Coverage has roughly 4,300 members, much lower than what state officials projected and a tiny fraction of the roughly half-million state residents who could be covered if Georgia, like 40 other states, agreed to a full Medicaid expansion.

Georgia Gov. Brian Kemp’s office has presented Pathways as a compromise that would add people to Medicaid while also helping them transition off it. Blaming the Biden administration for delaying the program’s start, Kemp’s office says it’s redoubling efforts to sign people up.