Balancing Healthcare Innovation and Accountability in Medicaid Managed Care Programs

Medicaid managed care offers states new opportunities to improve health outcomes by addressing non-medical drivers of health, such as food insecurity, housing instability, and limited access to community services. At the same time, the program also raises questions about cost, accountability, and the appropriate scope of coverage.

Charles Mathias sits down with Dr. Charlton Wilson, whose work experience includes a decade as chief medical officer of Mercy Care, a nonprofit health plan serving Medicaid recipients in Arizona. Together, they examine how states can use managed care, federal waivers, value-added benefits, and community reinvestment strategies to encourage healthcare innovation while maintaining public trust.

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