In every state, Medicaid delivery systems and payment methodologies suffer from inefficiencies that add needlessly to costs and sometimes even harm patient care. There are policies that tackle these wasteful practices, resulting in meaningful savings for states while maintaining or improving patient care. This table tracks each state's progress on some of those policy options, and it shows that all states still have substantial room to make their Medicaid programs more efficient. To be most helpful to a majority of states looking to find savings without harming care, we selected policy options that few states have yet enacted.
Before shifting costs onto beneficiaries or providers by enacting cuts in eligibility, benefits or provider rates, states should exhaust the opportunities identified below to make their program more cost-effective without harming patient care.
Made the Grade
Room to Improve
Miss the Mark