Policy & Practice | Spring 2026

staff spotlight Name: Nicole Acosta Title: Process Innovation Coordinator Time at APHSA: I have been with APHSA in this full-time role since May 2026 but previously served as a SNAP and Nutrition Supports intern from the fall of 2023 through the spring of 2024.

deliverables. I also worked at a local farmers’ market, where I administered SNAP, WIC FMNP, and Double Up Food Bucks (DUFB) programs. In addition, I earned a Bachelor of Science in Psychology from Texas A&M University. What I Can Do for Our Members: I serve as a point of contact by responding to inquiries, coordinating follow-up, and helping manage logistics for meetings, webinars, and events. Best Way to Reach Me: You can reach me via email at nacosta@aphsa.org. When Not Working: I love investing time into making art through attending classes around the city, reading new books that are recommended to me, and watching movies! Motto to Live By: “Authenticity is the daily practice of letting go of who we think we’re supposed to be and embracing who we are.” — Brene Brown

Priorities at APHSA: In this role, I provide project management, administrative, and coordination support to help advance the organization’s goals and pri orities. I support cross-team collaboration by tracking workplans, coordinating deliverables, and maintaining organized shared resources that keep projects moving efficiently and effectively. Life Before APHSA: Prior to returning to APHSA in this role, I worked at the National WIC Association, where I supported project management and the creation of grant

REDUCING CHURN continued from page 5

https://www.pewresearch.org/ internet/2025/11/20/americans-social- media-use-2025

Looking Ahead States can simplify CE requirements with consistent omni-channel outreach that turns upcoming policy changes into clear next steps. Pairing digital and traditional channels with trusted community messengers reinforces the message in the right language, at the right time, and connects beneficiaries to in-person help—reducing avoidable coverage loss and churn. Jeff Burke is a Principal with Deloitte Consulting LLP’s Strategy and Transactions practice. Kate Holman is a Principal with Deloitte Consulting LLP’s Customer practice. Betsy Park is a Senior Manager with Deloitte Consulting LLP’s Customer practice.

Tiffany Dovey Fishman is a Senior Manager with Deloitte’s Center for Government Insights. Reference Notes 1. University of Maryland. Marketing rule of seven. University of Maryland. https:// www.umaryland.edu/cpa/rule-of-seven 2. Swartz, K., Farley Short, P., Roemke Graefe, D., & Uberoi, N. (2015). Evaluating state options for reducing Medicaid churning. Health Affairs, 34 (7). https://doi.org/10.1377/hlthaff.2014.1204 3. JMIR Publications (2023). Preferences for electronic modes of communication among older primary care patients: Cross-sectional survey. JMIR Formative Research, 7 (1). https://formative.jmir.org/ 2023/1/e40709 4. StatCounter. Stat Counter Global Stats. Search engine market share in United States of America. https://gs.statcounter. com/search-engine-market-share/all/ united-states-of-america 5. Pew Research Center (2025). Americans’ social media use 2025.

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