Medicaid
solutions
Establish a long-term global budget for total health care spending.
Pressure the ten states that have not expanded Medicaid to do so at once.
Reform and refine payment methods to encourage efficient service delivery. Aggressively implement and expand payment reform pilots.
Improve program management for efficiency and better service to beneficiaries.
Expand reviews of the implementation of provider screening and enrollment requirements by the states, and monitor progress when states are not fully compliant.
Use trends in state auditor findings to inform oversight and share information on the status of actions to address findings with state auditors.
Require states to report on appeal outcomes and number of denials and implement actions for analyzing, using, and publicly posting the appeals and grievances data.