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Hill Leaders Release Blueprint for Updating Medicaid



This week in Washington—Congressmen Hatch and Upton release a blueprint for updating the Medicaid program. You are tuning in to the National Association of Public Hospitals and Health Systems health policy update for the week of May 6, 2013.

Last week, U.S. House of Representatives Energy and Commerce Committee Chairman Fred Upton (R-MI) and Senate Finance Committee Ranking Member Orrin Hatch (R-UT) released a blueprint offering options to modernize the Medicaid program. The blueprint, titled “Making Medicaid Work,” highlights the fiscal struggles facing the program and offers options for states to implement patient-centered programs that lead to greater quality of care, innovation and fiscal discipline. Specifically, the blueprint encourages states to offer more individualized benefit designs, such as value-based insurance design and assistance to enrolling in private coverage.

To increase provider transparency and value-based purchasing, the blueprint outlines options for states to adopt delivery system reforms, with options including aligning provider incentives and allowing the state to set provider rates. The blueprint also lays out suggestions that aim to improve access to coordinated care within states and ways to reduce federal barriers that deter innovation. Moreover, the blueprint proposes adopting per capita cap reform that would define Medicaid funding streams to states to meet the health care needs of the varied beneficiary populations within the program. The blueprint was drafted with input from states and policy makers. Now, Hatch and Upton’s respective committees are looking for feedback from stakeholders on how to improve the blueprint.

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Thanks for listening to another edition of This Week in Washington. I’m Zina Gontscharow; join us next week for another update.



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