Leading Medicaid Out of the Emergency and Into Its Future
Public Sector Leadership Framework
The federal policies and state-administered programs that determine what benefits Medicaid enrollees can access are essential to how the program serves its members and how health is impacted nationally.
A seminal event in world history, the global pandemic has changed the face of health care in America and deeply impacted the Medicaid program across states.
Delivery System and Payment Reform
Changes to Medicaid policy since its inception have moved the program toward a model based in quality of care delivered, but more work is needed. In addition, programs across the country are working hard to integrate new technologies to benefit Medicaid member care.
Medicaid has always existed to ensure that people can live healthier lives through better access to health care. Programs across the country are now redoubling their efforts to ensure equity is at the forefront of their planning and performance.
Medicaid programs across the country employ managed care models to help deliver quality care efficiently and with state budget realities in mind. States adopt various strategies for procurement, contracting and oversight of these critical partners.
The millions of people served by the Medicaid program fall into a broad and diverse spectrum of users, each with their own specific needs and challenges.
Medicaid programs across the country are large, complex systems that ensure millions of people get the health care they need. Billions of dollars support the Medicaid program at the federal and state level.
Public Sector Leadership
Overseeing a large, complex Medicaid system that serves millions and operates within individual state governments takes a highly specialized skill set and strong leadership.
Quality and Access to Care
Quality of care, not quantity, is the benchmark against which all health care delivery should be assessed. Medicaid programs across the country are making strides at implementing programs that consider quality as well as access to care.
Waivers are an essential part of the strategy many states use to ensure their programs are meeting the needs of their individual populations. Programs across the country use federally-approved waivers to meet a host of goals including coverage expansion, cost containment or improved care for specific groups such as individuals living with disabilities or pregnant women.