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Twenty Ideas on How States Can Keep Medicaid for the Truly Needy (Guest: Naomi Lopez Bauman)

March 19, 2019

The mission of Medicaid is to provide care for people who need it most. To ensure that, states can apply for waivers to make their programs fiscally sustainable.

Enrollment in state Medicaid programs has soared. Now, 37 states have expanded their programs to exceed the poverty level which can strain state budgets. Naomi Lopez Bauman discusses 20 ways states can use the waiver process to make their programs more responsive. She discusses measures that can incentivize participants to stay out of the hospital and seek more customized care in the private insurance market.  She discusses how states can do a better job at eliminating waste, fraud and abuse. She lists waivers by degree of impact and gives states a roadmap on how they can see a particular waiver. The program is of interest to policy makers looking to make their Medicaid programs the best they can be or members of the general public who want to get a better understanding why Medicaid can be so expensive.  
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AnneMarie Schieber is a research fellow at The Heartland Institute and managing editor of Health Care News, Heartland's monthly newspaper for health care reform. @HCPolicy