State fiscal year 2014 was a year of significant change for Medicaid Directors and the programs they oversee. Medicaid agencies continued their diligent efforts to implement the Affordable Care Act (ACA), while at the same time moving forward a multitude of payment and delivery system reforms and innovations. Together these changes are transforming how Medicaid is provided and transforming the agencies as well. Some of the key findings this year include:
- Directors’ ability to manage relationships with a host of critical partners is key.
- Directors and their agencies are taking on multiple and varied payment and delivery system reforms simultaneously.
- Even with modest growth, Directors face major capacity constraints.
- Despite variation, the priorities for Medicaid are increasingly coherent across programs.
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