I have been in a number of strategy meetings over the past couple weeks—each with very different stakeholder groups—and there is one very interesting theme: In the five years since the passage of the Patient Protection and Affordable Care Act (PPACA), state health and human service markets have become increasingly different, rather than increasingly similar. Why? There are a few factors, but Medicaid waivers are a big reason.

While consumers, clinical professionals, provider organization executives, and health plan executives are all greatly affected by waivers, many stakeholders don't understand what they are or how they work – which . . .

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