Finance and Budget

A Q&A with Tennessee’s Medicaid Director Stephen Smith on Innovation and Thinking Outside the Box

Blog Post

A Q&A with Tennessee’s Medicaid Director Stephen Smith on Innovation and Thinking Outside the Box

Tennessee Medicaid Director Stephen Smith talks innovation, fiscal discipline, and what TennCare's unique shared-savings waiver has made possible—from...

06/04/2026/Benefits Resources, Cross-Agency Partnerships, Disaster and Emergency Response, Finance and Budget, Public Sector Leadership

The Art and Science of Medicaid Budget Forecasting

Issue Brief

The Art and Science of Medicaid Budget Forecasting

This brief explores processes, challenges, and innovation behind forecasting expenditures for the Medicaid program.

04/28/2026/Finance and Budget

Medicaid Leader’s Playbook for Building Public Health Partnerships

Toolkit

Medicaid Leader’s Playbook for Building Public Health Partnerships

The Medicaid Leader’s Playbook is a hands-on resource designed to help state Medicaid leaders foster stronger, more effective...

10/01/2025/Cross-Agency Partnerships, Finance and Budget, Public Sector Leadership

How Medicaid Provider Taxes Work: An Explainer

Issue Brief

How Medicaid Provider Taxes Work: An Explainer

This resource explains how Medicaid provider taxes work, why states use them, and the key changes made under...

09/25/2025/Finance and Budget, Providers and Payment

Medicaid’s Next Chapter

Blog Post

Medicaid’s Next Chapter

The next chapter of the Medicaid program will be characterized by growing fiscal pressures at the state and...

08/26/2025/Data and IT Systems, Eligibility and Enrollment, Finance and Budget, Work and Community Engagement Requirements

Supporting State Flexibility: NAMD’s Response to CMS’ Health Care-Related Tax Proposed Rule

Blog Post

Supporting State Flexibility: NAMD’s Response to CMS’ Health Care-Related Tax Proposed Rule

This resource provides a snapshot summary of NAMD’s full comments on CMS’ proposed rule regarding health care-related taxes.

07/16/2025/Finance and Budget

Top Five Medicaid Budget Pressures

Blog Post

Top Five Medicaid Budget Pressures

This blog examines the current economic realities for Medicaid, highlights the top five external budget pressures, and explores...

06/16/2025/Finance and Budget

Why Did They Do It That Way? Medicaid Financing

Issue Brief

Why Did They Do It That Way? Medicaid Financing

04/28/2025/Finance and Budget