Report: ACA provisions place ‘unsustainable burden’ on Ohio Medicaid

A new report from the Buckeye Institute for Public Policy Solutions calls for reforms to Medicaid in order to change its “unsustainable spending trajectory,” according to a press release from the organization.

According to the report (pdf, 21 pages), which was written by Brian Blase of the Washington D.C.-based Heritage Foundation, Ohio should consider four policy options to curb the cost of Medicaid:

  • Petition the federal government to remove the maintenance of effort requirements that prevent states from reducing Medicaid eligibility requirements
  • Increase state efforts to recover assets from the estates of Medicaid beneficiaries in long-term care facilities
  • Petition the federal government for increased state flexibility in exchange for reduced federal reimbursement rates
  • “Introduce free-market reforms to better align the incentives of patients, providers, and taxpayers”

Attend HPIO's 2026 Health Policy Summit on Aug. 26

The Summit will draw insights from HPIO’s 2026 Health Value Dashboard to focus attention on the factors that drive population health and healthcare spending and build momentum for policy priorities that lead to improved health and well-being for Ohioans.

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