To transform Medicaid and the safety net to improve the well-being of the recipients and ensure that it is accountable to the taxpayers.
Gary D. Alexander
Gary D. Alexander is head of the Medicaid and Public Welfare Health Safety Net Initiative at the Paragon Health Institute. Over the past 20 years, he served as Secretary of Health and Human Services for both Pennsylvania and Rhode Island, and Rhode Island’s Medicaid Director.
- The purpose of a health care safety net is articulated in Medicaid’s statutory charge: “Furnish rehabilitation and other services to help such families and individuals attain or retain capability for independence or self-care.”
- Medicaid delivers poor results, failing both those who rely on the program and taxpayers.
- Personal empowerment is essential to achieving fulfillment and prosperity as well as the best program outcomes.
- Overall well-being encompasses much more than medical care and is, in large part, a function of family, friends, community, work, and faith or sense of purpose.
- Medicaid’s current financial structure, with an open-ended federal reimbursement of state expenditures, leads to significant improper and inappropriate spending in the program that disproportionately benefits special interests rather than the intended recipients.