A Medicaid
Win-Win

Nirav Shah, MD, New York health commissioner and three-time RWJF grantee, leads a plan that has cut $4 billion in state Medicaid expenditures while adding 154,000 people to the Medicaid rolls. And that's just for starters.

New York Medicaid Re-Design Infographic

Saving Medicaid, Advancing Reform

When Nirav Shah became New York state’s youngest health commissioner two years ago, he set his sights on reforming the state’s costly and controversial Medicaid program. Using tools in the Affordable Care Act, and with RWJF support, he set the stage for success.

Here's how Shah did it

.@HealthNYGov is on track to save $34.3 billion in #Medicaid costs over the next 5 years

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Ahead of the Mainstream in New York

The Empire State has been out in front in implementing the Affordable Care Act (ACA). The state's tradition of providing health care to low-income residents, together with its progress in private insurance market reform, well position New York to implement the ACA.

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The State of State Exchanges

This series of reports examines the status of health insurance exchange development and design in 10 states: Alabama, Colorado, Maryland, Michigan, Minnesota, New Mexico, New York, Oregon, Rhode Island, and Virginia.

View 10 state reports
Medicaid Current Topic

Figuring Out Federally Facilitated Exchanges

A new policy brief from Health Affairs and RWJF reviews the requirements for establishing a federally facilitated exchange, and finds that there will likely be enormous challenges for the federal government in planning and implementing federally-operated exchanges.

Read the policy brief
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Taking a Pass on Key Aspects of Reform

While bipartisan support for expanding Medicaid has emerged in some states, there are deep differences with respect to exchanges, with numerous state leaders expressing concerns about the cost of creating their own exchanges.

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Creating a Roadmap for State Health Insurance Exchanges

The National Academy of Social Insurance convened experts to experts to develop legislative options for states to use in designing their exchanges.

View the Program Results report
State Refor(u)m

Join the State Refor(u)m community of more than 4,000 health reform thinkers and do-ers, access thousands of implementation resources, and follow implementation progress across states and territories.

View your state's progress

More from State Health Access Reform Evaluation

To support research and evaluation of state health reform initiatives and develop an evidence base for future state and federal reform initiatives.

More from State Health Access Reform Evaluation

A Q&A with Nirav Shah

Our NewPublicHealth.org blog offers an in-depth Q&A with New York state's commissioner of health.

Read the blog post