This podcast episode delves into the multifaceted landscape of Medicaid, emphasizing its critical role as a lifeline for low-income Americans while also shedding light on its inherent flaws, such as bureaucratic hurdles and funding disparities. Expert Mark Smith discusses not only the historical context and ongoing challenges faced by recipients and providers but also the urgent need to address the intersections of uninsured populations and social determinants of health, alongside the promise of technological innovation to enhance care delivery. Ultimately, the episode presents actionable insights for innovators in the Medicaid space, advocating for a collaborative approach to reforming the system for the benefit of those it serves.