A New Vision for Medicaid: Deploying the FLEX Strategy to Strengthen the Social Safety Net

Medicaid is broken. The program fails to deliver consistent, quality care to the neediest Americans and at the same time is bankrupting states and the federal government. Without comprehensive reform, the program will increasingly strain budgets, suffer financial collapse and fail in its role in the nation’s social safety net. This paper lays out a new vision for Medicaid that strengthens the program through financial accountability, lean operations, ensured access and expanded state ownership (FLEX).