In December last year, the Texas Public Policy Foundation released a report that I 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.
The full report is available online here, and the pdf version is available here.