National Governors Association (NGA)
announced that Alabama, Nevada and Washington will participate in a
year-long project to examine ways to spur changes in how states pay for
Medicaid and other health care services.
states will work with experts within the NGA Center for Best Practices, other
national experts and peers to identify ways to accelerate the pace of statewide
Medicaid reforms. They will examine financing issues, stakeholder relations,
data analytics, quality reporting, performance metrics and evaluation, the role
of managed care and workforce development.
project will culminate in individual “agreements in concept” tailored to the
specific needs of each participating state and designed to help states reach
successful agreements with the U.S. Department of Health and Human Services.
The agreements in concept could take the form of waivers, state plan
amendments, performance partnerships or other mutually agreed-upon arrangements
between a state and the federal government and include the following core
- The potential for
systemic payment and delivery reform across a state focused on improving
health outcomes, improving the delivery of care and lowering health care
- Shared risk between
states and the federal government including, for example, the ability for
states to benefit from the savings generated in Medicaid, Medicare or
other federal programs; and
- A comprehensive
quality and accountability strategy.
are uniquely situated to look across their entire health systems to create
solutions that span both the public and private markets,” said Gov. Robert Bentley (R-AL). “Through
collaborative efforts among state agencies, communities, stakeholders, payers
and providers, governors can steer action towards a common vision of a
transformed health care system for a state.”
to the National Conference of State Legislatures,
is overwhelming state budgets. In 2012, the
states’ share of the joint state-federal program accounted for an average of
15% of state general funds. Additionally, 10 states—California, Colorado,
Louisiana, Maine, Maryland, North Carolina, Pennsylvania, Tennessee, Washington
and West Virginia—made mid-year revisions to close 2012 Medicaid budget gaps.