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Medicaid is the rope in the current tug of war between the states and the federal government over health reform. So far, the feds think they are winning. But don't discount the governors.
A sampling of Medicaid changes some state chief executives would advance if they were given more flexibility from the federal government. This issue is likely to be a hot topic this weekend as the governors convene in Washington, D.C. for their winter meeting.
Democrats say Gov. Scott Walker's proposal to tackle a two-year $3.6 billion deficit by making speedy changes in health care programs needs wider scrutiny.
Melanie Bella heads the new federal office that seeks to help people whose coverage is often fragmented because they qualify for both programs and to save the government money by streamlining that coverage.
The Obama administration is dispatching aides to states to offer advice on holding down spending on the program for the poor.
Some patient advocates, as well as the nursing home industry, object to using managed care for such vulnerable patients, but health plans say they can provide quality services while holding down costs.
The Lone Star State isn't seeking to opt out of Medicaid anymore, but it's joining other states in pressing Washington for more flexibility in running the program.
Federal officials are walking a fine line trying to satisfy the demands of budget-strapped governors who want to cut their Medicaid programs.
The conservative group FreedomWorks recommends a system of vouchers to replace Medicare, Medicaid and provisions of the new health law.
The president chose to submit a profoundly unserious budget. There's no entitlement reform to close the long-term fiscal gap. There's no tax reform. There are some minor cuts to marginal programs for show. But, overall, it's very much a business-as-usual budget, with a few new and expensive long-term commitments thrown in for good measure. It's like the president and his team woke up after the mid-term election with a bad case of political amnesia.
In his 2012 budget, the president proposed a two-year, $54 billion solution to stop the scheduled cuts to doctors who treat Medicare patients. The plan draws on savings from a variety of sources, including states, drug makers
The nation's leaders must slog through the complexities and ideologies of the current political landscape in order to craft solutions that will shore up the American safety net and protect its weakest citizens.
Hundreds of thousands of Americans are at risk of losing access to health services as states prepare to make yet another round of budget cuts.
Arizona has already asked for permission to trim back the program, and other states may follow as enhanced funding from Washington expires.
As state fiscal pressures mount, governors are asking Washington to allow them to reduce their Medicaid rolls, something that's barred under the health care law. Democrats generally prefer to give the states more federal money to help with Medicaid costs, but House Republicans are unlikely to support that, citing deficit concerns.
Courtney Burke of the Rockefeller Institute talks about New York's new governor's plans to tackle the public health insurance program.
Poll finds high support for Medicare and Medicaid, complicating political strategies for election of 2012.
Pursuing health reforms that transform current health insurance arrangements into aproaches based on defined contributions will set in motion a competitive dynamic from which all Americans would benefit.
Even while dealing with crippling deficits, state Medicaid and CHIP programs used stimulus funds in 2010 to keep enrollment steady for children, a new report finds.
Sometimes the noisiest voices in the health overhaul debate don't make a good faith effort to acknowledge important scientific or policy-oriented nuances in their arguments. It's happening again in the wake of a controversial regulatory ruling about a cancer drug.
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