Preparing for Medicaid Expansion

Planning to help state Medicaid agencies prepare for health reform implementation in 2014

Dates of Project: October 2010 through December 2012

Field of Work: Helping state Medicaid agencies implement health reform

Problem Synopsis: The federal Affordable Care Act will increase health insurance coverage primarily through state-level Medicaid expansions and health insurance exchanges, which will offer provide affordable coverage to individuals. The states face many challenges to creating a system that provides seamless, cost-effective, high-quality care.

Synopsis of the Work: The Center for Health Care Research and Strategies identified and analyzed major state issues relating to Medicaid expansion and state health insurance exchanges. They held two meetings of health policy experts and developed three policy briefs focused on implementing the health care reform.

Key Findings/Results: The Center for Health Care Strategies created three policy briefs:

  • Strategies for Building Seamless Health Systems for Low-Income Populations examined ways that states can provide stable, affordable, and high-quality coverage and care as income fluctuates.
  • Medicaid Supplemental Payments: Where Do They Fit in Payment Reform? examined how federal supplemental payments influence efforts to reform Medicaid's payment and purchasing strategies.
  • Medicaid Managed Care: How States' Experience Can Inform Exchange Qualified Health Plan Standards analyzed Medicaid managed care in six states in order to inform the design of the new health insurance exchanges.