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Advancing the University Mission Through Partnerships With State Medicaid Programs

Himmelstein, Jay MD, MPH; Bindman, Andrew B. MD

Academic Medicine:
doi: 10.1097/ACM.0b013e3182a7cdf8

State Medicaid programs are playing an increasingly important role in the U.S. health care system and represent a major expenditure as well as a major source of revenue for state budgets. The size and complexity of these programs will only increase with the implementation of the Patient Protection and Affordable Care Act. Yet, many state Medicaid programs lack the resources and breadth of expertise to maximize the value of their programs not only for their beneficiaries but also for all those served by the health care system.

Universities, especially those with medical schools and other health science programs, can serve as valuable partners in helping state Medicaid programs achieve higher levels of performance, including designing and implementing new approaches for monitoring the effectiveness and outcomes of health services and developing and sharing knowledge about program outcomes. In turn, universities can expand their role in public policy decision making while taking advantage of opportunities for additional research, training, and funding. As of 2013, approximately a dozen universities have developed formal agreements to provide faculty and care delivery resources to support their state Medicaid programs. These examples offer a road map for how others might approach developing similar, mutually beneficial partnerships.

Author Information

Dr. Himmelstein is professor of family medicine, community health, and quantitative health sciences, and chief health policy strategist, Center for Health Policy and Research, University of Massachusetts Medical School, Worcester, Massachusetts.

Dr. Bindman is professor of medicine, health policy, and epidemiology and biostatistics, and director, California Medicaid Research Institute, University of California, San Francisco, School of Medicine, San Francisco, California.

Funding/Support: None.

Other disclosures: None.

Ethical approval: Not applicable.

Disclaimer: The opinions expressed here are those of the authors alone and do not represent official policy of the universities and Medicaid programs with which they collaborate.

Correspondence should be addressed to Dr. Himmelstein, University of Massachusetts Medical School, 333 South St., Shrewsbury, MA 01545; telephone: (508) 856-3957; e-mail:

© 2013 by the Association of American Medical Colleges