The Medicaid Transformation Learning Collaborative


In the fall of 2015, the National Governors Association (NGA) launched the Medicaid Transformation Policy Academy to support governor‐led innovations that could ultimately lead to program changes at the national level. NGA assisted three states in designing proposals for large‐scale Medicaid transformation, engaging stakeholders, and negotiating the terms of their reform plans with the Centers for Medicare and Medicaid Services (CMS). The project ended with the states reaching “agreement in concept” with CMS—a commitment by CMS to identify a path through which the states could pursue their transformation proposals. NGA also published a toolkit to provide guidance to other states. Since then, additional state leaders have requested NGA’S help with moving their Medicaid reform proposals forward. NGA will work with up to 10 states that have approved Medicaid transformation waivers, or are preparing for or in the process of negotiating such waivers with CMS, to identify the steps required in pursuing or refining transformation initiatives. The participating states will define their priority areas for guidance, but they are likely to include: holding plans and providers accountable for improving population health; planning and refining implementation and evaluation, including the establishment of appropriate benchmarks; and engaging stakeholders. Guidance provided through NGA’s forum will help senior state leaders develop strategies for sustaining Medicaid transformation efforts and prepare for engagement with the new presidential administration. The forum also will enable NGA to highlight for federal officials states’ ideas and concerns regarding Medicaid reform issues.

Grant Details

Grantee Organization:
National Governors Association
Principal Investigator:
Frederick Isasi, J.D., M.P.H.
Award Amount:
Approval Date:
November 8, 2016

Forgot Password

An email has been sent to {{email}} with your reset password.

Account was not found. Please go to the login page and enter a new password.

Account was not found. Please try again with a different email address.

There was an error when attempting to send to {{email}}. Please contact an administrator.