Charting the road to coverage. Enhancing value in health care.

The Robert Wood Johnson Foundation is committed to ensuring everyone in America has quality, affordable health insurance and access to high-quality care. To support improvements to systems of care and coverage, the Foundation funds robust programs that provide expert technical assistance to states across the country.

Economic Impact of Medicaid

Check out our ongoing series of national and state-based reports, tools and presentations on the state economic impact of Medicaid.

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State Health Reform Assistance Network

The State Network supports states as they implement coverage provisions of the Affordable Care Act, giving more Americans access to quality, affordable health insurance.

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State Health and Value Strategies

State Health and Value Strategies (SHVS) supports states’ efforts as they work to improve population health and reform the delivery of health care services.

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Our Most Recent Work

September 19, 2017

More States Looking to Section 1332 Waivers

As federal health reform legislation has stalled, health policy attention turns to the states, which have many tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states.
Sep 19, 2017

An overview of the proposal released on September 13th by Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA)—along with Senators Dean Heller (R-NV) and Ron Johnson (R-WI) and former Senator Rick Santorum (R-PA)—to “repeal and replace” the Affordable Care Act (ACA). This is an updated version of the proposal that Senators Graham and Cassidy filed on July 27th. The Graham-Cassidy Affordable Care Act (ACA) repeal and replace legislation would retain many features of the Better Care Reconciliation Act (BCRA) voted down by the Senate on July 25th, including per capita caps on Medicaid spending  and elimination of the individual and employer mandates. However, it also goes beyond that proposal by converting Marketplace and Medicaid expansion federal funding into a block grant.
Sep 15, 2017 Webinar

In a final effort to pass a bill to repeal and replace the Affordable Care Act before reconciliation instructions expire on September 30th, Senators Graham and Cassidy are advancing a proposal that would retain many key provisions of the Better Care Reconciliation Act (BCRA) – including per capita caps for Medicaid non-expansion populations – and replace federal funding for tax credits, cost sharing reductions, Medicaid expansion, and the Basic Health Program with a capped allotment that would be distributed to states in the form of a block grant.