States Demand Medicaid Reform

Katrina Trinko has written an article at National Review Online, in which she discusses the crushing fiscal burden of Medicaid on states, and how Obamacare makes it worse.

She quotes me as suggesting that states would be more likely to achieve reform in the direction of Medicaid block grants (or at least capped federal matching funds with fewer strings attached) if they collaborated and devised a generic, plain-vanilla, waiver application and sent it to the Centers for Medicare & Medicaid Services concurrently.

The more I think of it, I am convinced it would be a good approach.  (Believe me, this does not happen with all my ideas.)  If only I had an army of lobbyists to corral the states!