National Academy of Medicine

Paying for Population Health: A Texas Innovation

By Thomas Schlenker
February 06, 2014 | Discussion Paper

In this discussion paper, local public health official Thomas Schlenker describes one state’s creative use of the Medicaid waiver. Through the waiver program, CMS allows states to reallocate funds in ways that improve Medicaid program effectiveness and efficiency. In Texas, the state’s use of the waiver provides support for the population based prevention activities of local public health agencies, and this state policy has the potential to transform the health of Texas communities.

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Disclaimer: The views expressed in this paper are those of the authors and not necessarily of the authors’ organizations, the National Academy of Medicine (NAM), or the National Academies of Sciences, Engineering, and Medicine (the National Academies). The paper is intended to help inform and stimulate discussion. It is not a report of the NAM or the National Academies. Copyright by the National Academy of Sciences. All rights reserved.