Medicaid Transformation Project

Strategic Initiatives / Medicaid Transformation Project

Medicaid Transformation Project

Caring for the nation’s most vulnerable isn't only an essential endeavor, it's good for business. 30+ health systems have dedicated themselves to transformational change, while reducing overall cost of care.

Delivering quality care
for the people who need it most

Why Take Action

  • One in five Americans is covered by Medicaid
  • 50% of U.S. births are financed by Medicaid
  • The #1 payer in the country for behavioral health services is Medicaid

Why Digital Transformation

Caring for Medicaid and other vulnerable populations is a core mission for many health systems. Now, the business case for better care has never been stronger. New payment models incentivize integrated and coordinated care, as well as focus on addressing social needs. Rapid and scalable innovation has emerged from companies focused on the needs of the vulnerable.

From behavioral health and maternal health to substance use disorder and chronic disease, health systems can scale care models and digital innovations that deliver sustainable, quality care for all people in their communities and achieve lasting results.

How to Create Impact

Here are some of the ways that participants in our Medicaid Transformation Project are taking action:

  • Community-Centered Care: Address social determinants of health, including housing instability, food insecurity, and transportation challenges, in coordination with a community network.
  • Maternal and Infant Health: Give every baby a healthy start in life by strengthening engagement with new parents and parents-to-be, and reducing practice variation with clinical decision support.
  • Behavioral Health: Strengthen the care delivery ecosystem by integrating mental health screenings with physical health exams, improving workforce capacity through digital, and expanding substance use disorder treatment capabilities.
  • Chronic Disease: Reorient the current episodic, acute-oriented treatment model to one that supports longitudinal patient management and empowers patients to self-manage their conditions.

Our Advisors

Leading national policy experts are advising this initiative and guiding its efforts, including:

  • Andy Slavitt, Chair for the Medicaid Transformation Project and former Acting Administrator of CMS
  • Vikki Wachino, former head of the Center for Medicaid and CHIP Services at CMS
  • Molly Coye, former Commissioner of Health for the State of New Jersey and Director of the California Department of Health Services
Andy Slavitt

Andy Slavitt

Former Acting Administrator, CMS; Founder, United States of Care

Vikki Wachino

Former Head of Medicaid

Molly Coye

Molly Coye

Executive-In-Residence

The Medicaid Transformation Podcast

The Medicaid Transformation Podcast examines the vision and work required to transform the health and care of vulnerable populations, featuring in-depth interviews with health system CEOs and Medicaid leaders.

Spotlight: Medicaid Transformation Project Annual Report

In 2019, we laid the foundation for health systems and created playbooks in key areas of action: Emergency Department, Behavioral Health, Maternal & Infant Health, and Substance Use Disorder. As a result of this work, there are now over 140 new projects being implemented to improve care for people with mental illness, moms and babies, and people who need care brought closer to them. In 2020, we’ll apply new insights and expertise to enable health systems to accelerate their action, succeed in contract performance metrics, and reduce total cost of care. Most importantly, our work together will improve care outcomes and results for each health system’s market and its overall communities, across the 28 states and 378 hospitals in MTP.

Perspectives From Our Leaders

Disparities in health and healthcare disproportionately affect vulnerable populations. The Medicaid Transformation Project’s commitment is to close the gap in care and outcomes in communities in need through a renewed focus on innovation and investment.