Series
Medicaid Financing and Structure
Articles in the Medicaid Financing and Structure series.
MRWR-17A
Article 17A: Risk Adjustment Models in Medicaid Managed Care
A State-by-State Analysis of Methodological Approaches in Expansion States, Georgia, and Wisconsin
Risk adjustment represents the actuarial backbone of Medicaid managed care payment systems.
MRWR-17B
Article 17B: Fee-for-Service Versus Managed Care in Medicaid Expansion
Delivery System Models, Hybrid Arrangements, and Work Requirements Implications
The delivery system through which Medicaid expansion adults receive coverage fundamentally shapes how work requirements will function in practice.
MRWR-17C
Article 17C: Medicaid ACO Models and Work Requirements
Value-Based Care Meets Eligibility Instability: Payment Architecture Under OB3
The executive director of a Portland-area Coordinated Care Organization stared at the 2027 financial projections spread across her conference table.
MRWR-17D
The Fiscal Foundation: Federal Matching, State Shares, and the Architecture of Medicaid Finance Under OB3
Article 17D: FMAP and Federal Contributions
The state Medicaid director stares at a spreadsheet that refuses to reconcile.
MRWR-17F
Article 17F: California's Perfect Storm
State-Level Medi-Cal Transformation Beyond Federal Work Requirements
Maria Elena has worked as a home health aide in Fresno for eighteen years.