![]() ![]() Without change, Medicaid will only worsen, with unsustainable spending that crowds out other national and state priorities and poorer access to care for those in need. The Heritage Foundation has outlined such a reform in its Saving the American Dream fiscal plan. At the same time, Congress needs to restructure the remaining safety net into a patient-centered model that gives families more control over their care and allows them to secure services tailored to their personal needs. By allowing Medicaid dollars to follow the individual, beneficiaries would have the same choices of coverage and be able to participate in the private market just like the rest of their fellow citizens. The ultimate goal of Medicaid reform must be to mainstream families out of the failing program and into more popular private health insurance options. These are both important changes, but clear policy goals must accompany them to reform Medicaid in a fundamental way. The House of Representatives recently passed a budget resolution that recommends a Medicaid block grant, which puts Medicaid spending on a budget like other government programs and gives states greater flexibility to manage the program. ![]()
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