The Financial Alignment Initiative has set ambitious time frames for making sweeping changes in the care offered to dual eligibles.  Will dual eligibles be able to obtain the services they need once they are shifted into these new health plans? Will savings come at the expense of patient care, or will this approach lead to real efficiencies in delivering care?

Tom Miller's proposals for Medicaid reform. 

The Medicaid drug program wasted $329 million nationwide in 2009 from states all too frequently reimbursing for a version of a drug that is more costly than another product with the exact same active ingredient, dose, form and bottle size.

In a just-published op-ed, American Enterprise Institute (AEI) economist Alex Brill sets forth two options to reduce health care costs in Illinois' Medicaid system. If enacted, these efforts would be a part of a broader reform effort which is necessary to avert dramatic cuts in the future.

Two months ago, the House adopted a budget resolution that outlines the Republican majority's ambitious plans to slow the growth of federal entitlement spending. If implemented properly, entitlement spending restraint can address the long-term fiscal imbalance in a way that promotes economic growth and freedom.

While the mandate question holds great constitutional interest, the outcome won't greatly affect Obamacare's operation one way or the other. The Medicaid question, in contrast, is crucial.

Michael Greve is a first-rate constitutional scholar, so I take on his argument that “the states will lose on Medicaid” with some trepidation. I’m no lawyer, so I’m in no position to quarrel with his legal argument. But I do know a thing or two about...