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.

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