- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
- Medicaid and CHIP
- Population and Public Health
- Providers and Services
- Acute Care
- Assisted Living
- Behavioral Health
- Case Management
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- Emergency Care
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- Hospitals
- Long Term Services & Supports
- Medical Homes & Health Homes
- Mental Health
- Nursing Homes
- Oral Health
- Preventive Care
- Primary Care
- Safety Net Providers
- Quality, Cost, and Health System Performance
- ACOs
- Adverse Event Reporting
- Care Transitions
- Comparative Effectiveness
- Cost Sharing
- Delivery System Reform
- Fraud and Abuse
- Health Care Workforce
- Health Information Technology
- Managed Care
- Medical Homes & Health Homes
- Medical Malpractice
- Patient Safety
- Payment Reform
- Performance Measurement
- Provider Payment Policy
- Quality Oversight
- Specific Populations
- Adolescents
- Childless Adults
- Children
- Children with Special Health Care Needs
- Dual Eligibles
- Elders
- Families
- Low Income People
- Parents
- People with Chronic Conditions
- People with Developmental Disabilities
- Transitional Youth
- Vulnerable Populations
- Young Adults
- Youth
- Youth in Foster Care System
- Youth in Juvenile Justice System
-
Less Federal Funding for Medicaid: Is State Flexibility the Answer?
Opportunities and Concerns
This paper is intended to help policymakers consider the implications of reduced rates of Federal funding for Medicaid from a perspective of state implementation. We reviewed the experience of states in implementing earlier block grants and considered how states might administer a smaller Medicaid program. The paper identifies what kind of flexibility from Federal laws and regulations states might require to respond to slowed growth in Federal Medicaid expenditures.
To assist us in developing this paper, we convened a Medicaid Summit with leading health policy officials from the Executive and Legislative branches of state governments.
April 1995» -
Moving Beyond the Tug of War: Improving Medicaid Fiscal Integrity
This paper breaks new ground in crafting options to improve the relationship between states and the federal government in financing Medicaid. The paper explores the greatly different perceptions of the problem from the state and federal perspectives, and lays out a framework to improve fiscal integrity so policy makers can save their administrative time and energy for operating these critical and complex programs. The paper is a product of the NASHP Fiscal Integrity Project, which brought together participants with different perspectives to find common ground and generate ideas about improving Medicaid fiscal integrity.August 2006 -
Summary Brief – Moving Beyond the Tug of War: Improving Medicaid Fiscal Integrity
This is a summary brief of the paper Moving Beyond the Tug of War: Improving Medicaid Fiscal Integrity. The full paper presents options to improve the relationship between states and the federal government in financing Medicaid. It expands on the history of state financing mechanisms and federal responses by positing a new reality in which states have clear rules to follow and the federal government applies them fairly and consistently across states.August 2006
