Many states face ongoing budget challenges while facing simultaneous growth in their Medicaid programs.  Medicaid directors are the senior leaders in states driving major innovations in health care while overseeing Medicaid, one of the nation’s most vital – and complex – health care safety net programs, which covers more than 72 million Americans. Medicaid directors work tirelessly to provide the best possible health care to vulnerable Americans while being responsible stewards of taxpayer dollars.

State Medicaid directors welcome the opportunity to strategically increase the efficiency and quality of their programs. Medicaid Directors are poised to leverage the power of the state as a purchaser to dramatically reform the provision of health care to millions of beneficiaries of public programs, but often lack the resources to effectively implement these improvements.

NAMD supports state-driven policies and practices that strengthen the efficiency and effectiveness of Medicaid. Through numerous platforms, we foster state-to-state collaboration and communication on promising practices, common challenges and lessons learned in the field. NAMD is engaging states in shared learning around how Medicaid can drive delivery system and payment reforms. NAMD is committed to helping states develop responsible solutions that promote access to high-quality health care services for eligible members while protecting the integrity of Medicaid programs.

MACRA and Medicaid Value-based Purchasing

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare sustainable growth rate formula with the Quality Payment Program (QPP). Although the QPP affects Medicare payment, it has implications for Medicaid payment reform efforts. This issue brief, developed with support from The Commonwealth Fund, provides state Medicaid leaders with an at-a-glance look […]

NAMD Issue Brief: Medicaid Innovations for Children

NAMD Issue Brief: Medicaid Innovations for Children State Medicaid programs are designing innovations – from alternative payment models to risk-based managed care – that address the unique needs of the children covered by Medicaid, including children with complex health needs and disabilities. This issue brief, developed with support from the Commonwealth Fund, explores examples of […]

NAMD Response to CMS Pediatric Request for Information

NAMD submitted comments to the Center for Medicare and Medicaid Services (CMS) on the agency’s request for information on pediatric alternative payment model concepts. The letter focuses on areas where CMS could partner with states to most effectively support Medicaid innovations for children, such as: addressing silos between federal programs, aligning quality measures, and supporting […]

Medicaid Value-based Purchasing: What Is It & Why Does It Matter?

Medicaid Directors are reorienting the health care system to deliver better care and lower costs through “value-based purchasing” initiatives. These efforts are seeking to address historical fragmentation in the health care delivery system and ensure the sustainability of the Medicaid program. This resource, developed with support from The Commonwealth Fund, provides foundational information about Medicaid […]

NAMD Comments on Final MACRA Regulation

NAMD submitted comments on the Final Regulation with Comment implementing the Medicare Access and CHIP Reauthorization Act (MACRA). NAMD’s letter addresses unique Medicaid considerations in the multi-payer component of MACRA’s Advanced APM program. Read full letter.