Capitol Ideas | 2018 | Issue 1 | CSG Serves the States

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by Debra Miller

TOP 5 » HEALTH

Medicaid Waivers Bring Unprecedented Change

After a year of suspense over whether the Affordable Care Act would be repealed and replaced and how that would affect states’ Medicaid programs, state leaders now can turn their attention to making improvements in their Medicaid programs that address political and fiscal pressures that haven’t gone away. “The bandwidth at both the federal and state levels has been completely taken up with the debates over repeal and replace,” said Matt Salo, executive director of the National Association of Medicaid Directors. He also said he expected states that have not expanded Medicaid

Rural Health Care

JAN/FEB 2018 | CAPITOL IDEAS

The adequacy of health care in rural areas continues to be a critical issue in numbers of states. Small critical care hospitals in rural areas are closing even as states experiment with alternative models for emergency and acute care. Telehealth services promise to bring technological solutions to the provider shortage, but payment and licensing issues remain barriers.

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