Save Texas Medicaid
A proposal for fundamental reform

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Article Highlights

  • Nearly 70% of Texas docs will not accept new Medicaid patients, who are often forced to seek primary care in ER’s

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  • Medicaid expenditures in Texas consume more than 25% of the state budget & are expected to increase

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  • TX could design a program that covers the current Medicaid population for less than current program costs

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  • By 2020 the state would be spending $6 billion less if long-term care cost growth was limited to 4%

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In December last year, the Texas Public Policy Foundation released a report that James Capretta co-authored with colleagues from Leavitt Partners.  The report focused on how the state of Texas should reform the long-term care components of the program to stay within the confines of a fixed Medicaid budget, such as would be the case with a block grant.

This week, TPPF released a follow-on report outlining the broader reform strategy for the Medicaid program.  The report describes in some detail the provisions which should be included in federal legislation to convert Medicaid into a block grant.  It then also describes what the state of Texas should do once it gets a block grant to provide more cost-effective services to its citizens.  In short, the report provides a roadmap for making a Medicaid block grant work at both the federal and state levels of government and should be of interest to state policymakers in all fifty states.

 

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About the Author

 

James C.
Capretta
  • James Capretta has spent more than two decades studying American health care policy. As an associate director at the White House's Office of Management and Budget from 2001 to 2004, he was responsible for all health care, Social Security and welfare issues. Earlier, he served as a senior health policy analyst at the U.S. Senate Budget Committee and at the U.S. House Committee on Ways and Means. Capretta is also concurrently a Senior Fellow at the Ethics and Public Policy Center. At AEI, he will be researching how to replace the Patient Protection and Affordable Care Act (best known as Obamacare) with a less expensive reform plan to provide effective and secure health insurance for working-age Americans and their families.

  • Email: James.Capretta@aei.org
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    Name: Neil McCray
    Phone: 202-862-5826
    Email: Neil.McCray@aei.org

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