Health Chairs Meeting
Medicaid Reform or Restructuring within the States:
Opportunities and Challenges
June 16-18, 2005
Washington, DC
The Forum for State Health Policy Leadership convened a three-day conference in Washington, D.C. from June 16th through 18th sponsored by the Henry J. Kaiser Family Foundation. The Spring Health Chairs Meeting titled “Opportunities and Challenges to Meaningful Medicaid Reform or Restructuring within the States” focused on how states are coping with growing health care needs and increasingly tight budgets, and what state and federal lawmakers can learn from past and current experiments in state Medicaid reform while proposals for changing national Medicaid policies are still under debate. Approximately 50 health committee chairs, representing more than two-thirds of the states, participated in sessions that included: Medicaid waivers, health cost drivers, dual eligibles, long-term care reform, prescription drugs, and new approaches to financing, managing, and delivering health services. Below are links to the presentations and resources from the conference sessions.
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Thursday, June 16 |
View Webcast |
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A. Opportunities and Challenges to Medicaid Reform or Restructuring Within the States
James Tallon Jr., Chair, Kaiser Commission on Medicaid and the Uninsured and Former Chair, New York Assembly Health Committee [BIO] |
Speaker Slides
Resources |
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B. Understanding Key Medicaid and Health Cost Drivers: What's Controllable and What Isn't?
Vern Smith, Principal, Health Management Associates and Former Michigan Medicaid Director [BIO] |
Speaker Slides
Resources |
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C. Reflections on Medicaid Reform in the States
John Goodman, President, National Center for Policy Analysis [BIO] |
Speaker Slides
Resources |
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D. Medicaid Waivers: What Have We Learned Over the Past Two Decades?
Andy Schneider, Prinicipal, Medicaid Policy, LLC [BIO]
Samantha Artiga, Policy Analyst, Kaiser Commission on Medicaid and the Uninsured [BIO] |
Speaker Slides
Resources |
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E. Chairs Roundtable |
Resources |
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F. New Thinking and Approaches to Financing, Delivering and Managing Medicaid Services in the States
Jeanne Lambrew, PhD, Associate Professor of Health Policy, George Washington
University [BIO] |
Speaker Slides
Resources |
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Friday, June 17 |
View Webcast |
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G. Dual Eligibles and Other Considerations: Options for Medicaid and Medicare Coordination After Medicare Modernization Act
Eugene Gessow, Director, Division of Medical Services, Iowa Department of Human Services [BIO] |
Resources |
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H. Cutting Edge Ideas for Reforming the Financing, Organization and Delivery of Long-Term Care Services
Charley Reed, form Deputy Secretary, Washington State Department of Social and Health Services [BIO]
Susan Reinhard, PhD, Co-Director Center for State Health Policy, Rutgers University [BIO]
Dann Milne, Ph.D., Health Policy Consulting, Denver, Colorado [BIO] |
Speaker Slides
(Reinhard)
Speaker Slides
(Milne)
Resources |
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I. Special Briefings and Q & A Sessions
Mental Health and Substance Abuse Services
Lead expert: Rita Vandivort-Warren, SAMHSA [BIO]
Paying for Results in Medicaid
Lead expert: Jim Verdier, Senior Fellow, Mathematica Policy Research Inc. [BIO]
Prescription Drug Issues in the States
Lead expert: Donna Folkemer, NCSL |
Resources |
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Saturday, June 18 |
View Webcast |
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J. Understanding Medicaid Budget Forecasting
Kelly Furgeson, Texas Legislative Budget Board [BIO] |
Resources |
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K. Models for Effective Medicaid Program Oversight
Charles Milligan, Jr., President, Center for Health Development and Management, University of Maryland [BIO] |
Resources |
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L. Public/Private Stategies for Covering the Uninsured: What's Working So Far?
Jack Meyer, Ph.D., President, Economic and Social Research Insitute [BIO]
Gary Claxton, Director, Changing Marketplace Project, Kaiser Family Foundation [BIO] |
Speaker Slides
Resources |
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M. State Initiatives for Covering the Uninsured and Unanswered or Unresolved Questions about Medicaid |
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Selected Readings
Faculty Bios |
Session A: Opportunities and Challenges
The Medicaid Program At A Glance from the Kaiser Family Foundation
Medicaid: Issues in Restructuring Federal Financing from the Kaiser Commission on Medicaid and the Uninsured
Estimating the Cost of Enrolling New York City’s Eligible but Uninsured Adults in Medicaid by Michael Birnbaum, et al., from the United Hospital Fund
Reforming Medicaid by John C. Goodman
Session B: Understanding Key Medicaid and Health Cost Drivers
U.S. Health Spending Projections for 2004-2014 from Health Affairs, February 23,2005
Highlights and Tables Only from CMS
State Strategies to Contain Medicaid Costs from the Office of the Inspector General at HHS
What Goes Up May Not Go Down: State Medicaid Decisions in Times of Plenty by Michael S. Greve with Jinney Smith
Taking a Walk on the Supply Side: 10 Steps to Control Health Care Costs by Karen Davis, President of the Commonwealth Fund
Session C: Reflections on Medicaid Reform
Reforming Medicaid: More Flexibility for the States from the National Center for Policy Analysis by John C. Goodman and Devon M. Herrick
Session D: Medicaid Waivers
Medicaid Section 1115 Waivers: Current Issues from the Kaiser Commission on Medicaid and the Uninsured
New Directions for Medicaid Section 1115 Waivers: Policy Implications of Recent Waiver Activity from the Kaiser Commission on Medicaid and the Uninsured by Samantha Artiga and Cindy Mann
Session E: Chairs Roundtable
NCSL Resolution Adopted by the Task Force on Medicaid From the Fall Forum of the NCSL Standing Committees, December 2004, Savannah, Georgia
Medicaid Reform Policy from the National Governors Association
Session F: New Thinking and Approaches
Transform It, Don’t Reform It by Newt Gingrich, The Washington Post, March 2, 2005
Making Medicaid Work for the 21st Century from the National Academy for State Health Policy
Governor Bredesen’s National Democratic Address on Medicaid
Session G: Dual Eligibles and Other Considerations
Dual Eligible Income Limits for 2005 Based on Percentage of Federal Poverty Level
Qualified Medicare Beneficiary
Specified Low-Income Medicare Beneficiary
Qualifying Individual
Qualified Disabled and Working Individual
Medicare Part D: Fiscal Implications Trouble Some from State Health Notes by Christina Kent, May 16, 2005 (Abstract only)
The New Medicare Prescription Drug Law: Issues for Enrolling Dual Eligibles into Drug Plans by the Kaiser Commission on Medicaid and the Uninsured
Impact of the Medicare Prescription Drug Benefit on Home- and Community-Based Services Waiver Programs from the Commonwealth Fund by Charles J. Milligan
Session H: Cutting Edge Ideas
Global Budgeting: Promoting Flexible Funding to Support Long-Term Care Choices by Leslie Hendrickson and Susan Reinhard from the Rutgers Center for State Health Policy
Rebalancing State Long Term Care Systems by Robert L. Mollica and Susan C. Reinhard from the National Academy for State Health Policy and Rutgers Center for State Health Policy (This Paper will appear in Ethics, Law and Aging Review, Vol. 11, October 2005)
Medicaid HCBS Waiver Expenditures, FY 1999 through FY 2004
NCSL’s Medicaid Assisted Living Waivers
Consumer-Directed Care, State Health Lawmakers’ Digest, Spring 2005, NCSL
Session I: Special Briefings and Q & A Sessions
Medicare Prescription Drug Benefit Fact Sheet from the Kaiser Commission on Medicaid and the Uninsured
MMA Guide for State Legislators from CMS
Medicare Modernization Act Titles I and II Implementation Timeline for States, NGA
2005 Medicare and State Pharmaceutical Coordination Legislation, NCSL
Stretching State Health Care Dollars: Pooled and Evidence-Based Pharmaceutical Purchasing by Sharon Silow-Carroll and Tanya Alteras from the Commonwealth Fund
Quality-Related Provider and Member Incentives in Medicaid Managed Care Operations by James Verdier, et al. from the Center for Health Care Strategies
Quality Matters: April Update from the Commonwealth Fund
Examining Pay-for-Performance Measures and Other Trends in Employer-Sponsored Health Care, House Subcommittee on Employer-Employee Relations Hearing on Examining Pay-for-Performance Measures and Other Trends in Employer-Sponsored Health Care
"Pay-for-Performance" an Imperfect Cost-Control Tactic, Harvard Researcher Says
Evidence-Based Medicine and State Health Policy by Barbara Yondorf, NCSL
U.S. Spending for Mental Health and Substance Abuse Treatment, 1991-2001 by Tami L. Mark, et al. from Health Affairs (Abstract Only)
Medicaid, Health Care Financing Trends, and the Future of State-Based Public Mental Health Services by Jeffrey A. Buck
Drug Dependence, a Chronic Medical Illness by A. Thomas McClellan, et al., JAMA, October 4, 2000 (Abstract Only)
Session J: Special Skill-Building Seminars on Medicaid
Factors Contributing to the High Cost of Medicaid, Staff Performance Report to the 79th Legislature (Texas), Pages 123-132
Session K: Models for Effective Medicaid Program Oversight
From a Lawmaker’s Guide to Monitoring Medicaid in a Time of Budget Cuts by Kala Ladenheim, NCSL
Health Indicator System for Rhode Islanders on Medicaid: An Effective Model to Identify Unmet Health Care Needs and Evaluate Program Initiatives by Jane Griffin from the Center for Health Care Strategies
Session L: Public/Private Stategies for Covering the Uninsured
The Uninsured and Their Access to Health Care from the Kaiser Commission on Medicaid and the Uninsured, November 2004
2005 Bills Requiring Disclosure/Reporting of Employers of Medicaid Beneficiaries, NCSL
More than One in Four Workers will be Uninsured in 2013 as Coverage Becomes More Unaffordable, Health Affairs Article Says, Press Release from ProjectHope
With Individual Coverage, Affordability is Always the Issue, Commonwealth Fund Quarterly, Winter 2005, Vol. 10, Issue 4
Health Insurance Coverage for Small Employers by Dawn M. Gencarelli from the National Health Policy Forum at George Washington University
HRSA State Planning Grant Update: A Review of Coverage Strategies and Pilot Planning Activities by Sharon Silow-Carroll and Tanya Alteras from the Commonwealth Fund
Health Savings Accounts by Kala Ladenheim from Legisbrief, Vol. 13, No. 17, March 2005, NCSL
The Uninsured in America, BlueCross BlueShield Association
Association Health Plans – A Step Backward for Small Employers and Consumers
Session M: State Initiatives for Covering the Uninsured and Unanswered or Unresolved Questions about Medicaid
Selected Readings:
Medicaid Formula Fairness Act of 2005, LegAlert, May 2005, NCSL
How Medicaid Works: Program Basics by the Congressional Research Service
Medicaid Reform: Balancing Care, Coverage, and Cost
For additional information please e-mail us at health.chairs@ncsl.org
Visit NCSL’s Medicaid Website
