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Medicaid Report Card highlights wide governance gap between states
Kansas scored 74 out of 100, while California ranked last at 22, with the report pointing to fiscal performance as the clearest dividing line.
A new 50-state Medicaid analysis finds the gap between the best- and worst-managed state Medicaid programs is wider than many benefits advisers might expect, with implications for how employers design competitive health benefits, according to the Insurance Business.
The Medicaid Report Card, published by the Heartland Institute, a Chicago-based free-market think tank, scores states across 16 metrics grouped into program design and enrollment, fiscal sustainability, program integrity and administrative oversight, and market structure and provider environment.
Kansas led with 74 points out of 100, while California ranked last with 22, based on a framework that favors smaller, more targeted Medicaid programs and that the report says should be read within that context.
The analysis, authored by Jack McPherrin and drawing on data from Kaiser Family Foundation, the US Census Bureau, MACPAC, and CMS, identifies fiscal performance as the clearest dividing line.