Overview

Introduction

The Great Debate: Medicaid in the eye of the storm

The Challenge of Change: Balancing cost controls with the health of millions



The States
at Work

A report on reforms being road-tested in the states

Medicaid's Third Rail: Long-term care

The Rx Factor: Controlling prescription drug costs

The Great eHealth Hope: How technology can help

Something of Value: Experiments in cost sharing

Tools to Live By: Managing for better performance

Trading Places: Tapping into private insurance

The Radical Reformers:
A New Approach


The printed version of the full report in PDF format


Pew Center on the States
SPECIAL REPORT ON MEDICAID 2006

Bridging the Gap
Between Care and Cost


States are pivotal players on a wide range of public policy issues and have repeatedly demonstrated their ability and willingness to take innovative approaches to solving important problems faced by the public. Given the impact that state policy makers’ decisions have on both individual citizens and the country at large, the stakes in this arena are very high. The Pew Center on the States, an operating division of The Pew Charitable Trusts, seeks to identify and advance effective public policy approaches to critical issues facing the states by analyzing real-world experience, highlighting examples of what works and what doesn’t, calling on diverse perspectives, and collaborating with a wide range of partners and funders.

Medicaid report cover

The report that follows represents the first major accomplishment of the Center, which is overseen by Susan Urahn, director of State Policy and Education at the Trusts. The report was designed, managed and edited by Katherine Barrett and Richard Greene, both senior project coordinators with the Center. Their Trusts-funded report about health care won the National Institute for Health Care Management’s Health Care Journalism Award in 2005.

Penelope Lemov, Governing magazine’s associate editor and health care columnist, was executive editor of the project.

The research/writing team was led by Rebecca Adams, a reporter at Congressional Quarterly who was chosen for the national Kaiser Family Foundation health journalism fellowship in 2003-2004. Gary Enos has contributed to many publications and served as editor of the magazines Behavioral Healthcare Tomorrow and Addiction Professional. Jenny Mandel has written for numerous publications, non-profit groups and international organizations on topics including childhood health and Internet technology. Misha Segal has worked on policy issues at the Urban Institute and has been an independent consultant for health insurance and public health associations.

Governing staffers contributing to this report include: design director Jandos Rothstein, art director Bonnie Becker, production manager Tonya Namura, managing editor Anne Jordan and editorial assistant Ben Delman.

The report was carefully screened by two nationally respected Medicaid experts: Cindy Mann, research professor at the Health Policy Institute at Georgetown University and a key Medicaid official during the Clinton administration, and Vernon Smith, a consultant with Health Management Associates and a former Medicaid director in Michigan.

Illustrations by Wesley Bedrosian

Pew Center on the States
AN OPERATING DIVISION OF THE PEW CHARITABLE TRUSTS
www.pewcenteronthe states.org
[email protected]