National Academy for State Health Policy

The Making Medicaid Work for the 21st Century report included a number of recommendations related to home and community based services. A number of those recommendations are included in the Deficit Reduction Omnibus Reconciliation Act of 2005. Read a summary of the Act.

Read Alan Weil’s 6/15/05 testimony before the U.S. Senate Committee on Finance’s hearing on the Future of Medicaid: Strategies for Strengthening America’s Vital Safety Net

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In January 2005, NASHP released a major report identifying numerous opportunities for strengthening the Medicaid program and enabling it to continue to play a critical role in the country’s health care system. The report draws upon the work of a group of experts with a broad range of experience in the Medicaid program and was funded by the David and Lucile Packard Foundation, the Robert Wood Johnson Foundation, AARP, and the Agency for Health Care Research and Quality.

The report’s detailed recommendations identify opportunities for improvement in all areas of the Medicaid program and include calls for:

· simplifying and expanding eligibility;

· increasing program flexibility for optional populations;

· improving coordination and integration with the Medicare program and private insurance;

· adjusting current financing mechanisms; and

· providing states with tools to manage the long-term care system and, in the process, rebalance the institutional and home and community-based care systems.

Read an overview of the recommendations contained in the report

Read the full report

Read a series of issue briefs on key topics related to the report’s recommendations

Read an overview of the MMW project

Visit the MMW Reading Room for additional information and resources

Questions about the MMW project may be directed to Neva Kaye.


	If you have questions or comments or thoughts on how we might serve you better, please e-mail us at info@nashp.org, or you may contact us at, 10 Free St., 2nd Floor, Portland, ME 04101. 207-874-6524. 1233 20th St., NW, Suite 303, Washington, DC 20036. 202-903-0101 Copyright 2008 National Academy for State Health Policy. All rights reserved.