What Will Medicaid Reform Say About Our Society?
by Ron Manderscheid, PhD, Executive Director, NACBHDD and NARMH
Behavioral Healthcare, January 12, 2017
Just before the holidays, I summarized potential courses of action that the new Congress and administration likely will take on the “repeal” of the Affordable Care Act (ACA). I outlined the pitfalls of each option, together with a recommended response by us to each alternative. Here, I would like to do the same for Medicaid “reform."
Members of the new Congress and administration already have expressed a strong desire to “reform” Medicaid, although specifics are quite scarce. Both historical precedent and often-stated hopes of previous Republican administrations suggest, however, that an effort will be made to change Medicaid from a joint federal-state entitlement program to one based upon some type of fixed federal payment to each state in return for greater state flexibility in the use of federal funds.