State Alternatives to Medicaid Expansion

April 13, 2013
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ImageStates are being encouraged to take the federal money and run — headlong into expanding their Medicaid program. However, this federal gravy train cannot go on forever. Chris Jacobs explains that states have other options when reforming health care within their states:

ImageStates are being encouraged to take the federal money and run — headlong into expanding their Medicaid program. However, this federal gravy train cannot go on forever. Chris Jacobs explains that states have other options when reforming health care within their states:

  • Rhode Island got a waiver granting it the flexibility to use home and community-based services as an alternative to nursing homes.
  • Indiana developed a program similar to consumer-driven health plans to provide coverage and the appropriate incentives to low-income populations.
  • Florida successfully tested private managed care plans as a way to cover low-income families.

Lessons from other states are also evident from the early-stage experiments. According to Chris Jacobs, these follow a common theme:

  • Customized Beneficiary Services.
  • Coordinated and Preventive Care.
  • Personal Responsibility.
  • Home and Community-Based Services.
  • No New Federal Funds.

image: map/shutterstock