Roadmap to Medicaid Reform: New Options to Improve and Expand Insurance Coverage for Acute Care Needs

March 31, 2006 Roadmap to Medicaid Reform: New Options to Improve & Expand Insurance Coverage for Acute Care Needs More than $100 billion of Medicaid spending is currently delivered through waivers and demonstrations. The very nature of a waiver, candidly stated, is to demonstrate more modern approaches than those contained in the outdated rules of title XIX. But even with the success of waivers and demonstrations, they can be cumbersome to administer. Waiver and demonstration programs must show that they meet a variety of budget neutrality and cost-effectiveness tests, necessitating detailed analyses and lengthy discussions with the Federal government . . .