The National Association of Medicaid Directors (NAMD) is engaging states in shared learning on how Medicaid directors can drive payment and delivery system innovations. As more states take on an active purchaser role in the health care market, Medicaid directors increasingly face pressure to move toward paying for value rather than volume. States struggle with the question of how to best maintain and improve the quality of health care services available to Medicaid members. States are not pursuing quality improvement in a vacuum; they are implementing multiple, concurrent initiatives with different goals. This dynamic presents a significant challenge.
This brief summarizes states’ experiences with quality improvement in the context of Medicaid innovation, including challenges, current approaches, and goals for the future.