Chief Healthcare Executive March 1, 2025
Medicaid, which offers coverage to nearly 80 million Americans, has evolved far beyond basic care toward whole-person care. The program could use more entrepreneurs.
There’s an old saying in Medicaid, the federal-state safety net healthcare program serving low-income individuals, people with disabilities, children and pregnant women: If you’ve seen one Medicaid program, you’ve only seen one Medicaid program.
That’s because outside of setting certain requirements that are standard nationwide, the federal government gives states broad leeway to determine how to shape the program. It’s why today, there are 40 states that have expanded their Medicaid program eligibility under the Affordable Care Act and 41 states, plus Washington D.C., contracting with risk-based managed care organizations to cover care for at least...
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