Key Issues

At Better Health Better Pay (BHBP), we help Medicaid stakeholders address the interconnected challenges shaping today’s healthcare and workforce systems. Our work focuses on three core issues where innovation and cross-sector collaboration are critical to long-term success.

Self-Sufficiency in Medicaid

Redefining success beyond access to care.

As CMS reorients Medicaid toward outcomes like economic mobility and independence, BHBP helps states and MCOs lead with aligned strategies. We support the design of self-sufficiency frameworks that track employment, income, housing stability, and transitions to other coverage—all while maintaining a focus on equity and whole-person care.

Work Requirements & Member Support

Making compliance work—for members and systems.

With Medicaid work requirements returning to state policy agendas, MCOs and Medicaid leaders must be ready to support compliance through outreach, documentation, and meaningful pathways to work and training. BHBP offers strategies to build cross-system referral and navigation tools that protect access while advancing economic opportunity.

Strengthening the Direct Care Workforce

Recruit. Train. Retain. Sustain.

The direct care workforce is the backbone of LTSS and home- and community-based services. BHBP helps partners address this workforce crisis with practical strategies to grow the pipeline, standardize training, improve job quality, and reduce turnover—using Medicaid policy levers and workforce system partnerships.

Let's Work Together

As CMS and states prioritize self-sufficiency and workforce alignment, BHBP helps you stay ahead-with smart, integrated solutions tailored to your goals.

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Created by Better Health Better Pay Collaborative ©