For too long, many individuals eligible for both Medicare and Medicaid and the providers who serve them have been forced to cobble together services from disparate and complex health care delivery systems.

Program Integrity

Jointly financed by the states and the federal government, Medicaid will spend more than $400 billion this year to provide health care to more than 60 million Americans.

State/Federal Dialogue

Medicaid is a jointly run program between states--including the territories and the District of Columbia--and the federal government.

Delivery System and Payment Reform

Many states are facing ongoing budget challenges under the recession, while, simultaneously, the size of the program has grown.

Medicaid Financing

Established in 1965, Medicaid is simultaneously the nation’s health care safety net, as well as its largest health insurance program.

© 2012 National Association of Medicaid Directors
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Washington, D.C. 20001