Medicaid Episodes

On today's episode, Victor Ramos Otero, secretary of health for Puerto Rico, joins the show to discuss the urgent challenges facing the island’s health care system.

At this year’s ASTHO Spring Leadership Forum, Gaafar Uherbelau, advisor to the president of Palau and former minister of Health and Human Services, shared the story behind a long-awaited solution to a quiet but growing challenge in public health. Palau’s new transition facility is designed for individuals who are medically cleared to leave the hospital but have nowhere to go or no one to care for them. What sounds like a simple fix is actually the result of decades of cultural shifts, resource c...

In this episode, ASTHO's JoAnne Deehr highlights ASTHO’s Policy Institute for STI and Infectious Disease Prevention and its offerings to state health agencies and public health professionals.

What happens when health coverage becomes unaffordable, and who’s stepping up to lead in moments like this? This episode connects two powerful public health stories. First, we break down the ACA enhanced premium tax credits: what they were, who they helped, and what’s at stake now that they’ve expired. Catherine Jones, senior analyst for government affairs at ASTHO, will explain how these pandemic-era subsidies dramatically expanded access to marketplace coverage, helping middle-income families...

If the United States brought home a report card on maternal and infant health, it would need a serious parent–teacher conference. In this episode, Dr. Michael Warren, chief medical and health officer at March of Dimes, breaks down their 2025 Report Card on birth outcomes, and the headline is hard to ignore: the nation earns a D+ for preterm birth, with half of states receiving a D or F. But this isn’t just about grades. It’s about what’s driving poor outcomes and what public health leaders can actually do about it. Warren, a former state and federal public health leader, also shares how officials can use the report card as more than a headline, but as a tool to build urgency, strengthen partnerships across maternal health, chronic disease, and Medicaid, and push forward policy and funding priorities.

What does it take for states to expand access to substance use disorder treatment and build stronger, more sustainable partnerships between Medicaid and public health?  In Massachusetts, leaders changed policies around provider models to increase access to care for opioid use disorder: Frances McGaffey, manager of the Substance Use Prevention and Treatment Initiative at The Pew Charitable Trusts, explains how pairing providers with dedicated nursing support has helped remove barriers to prescribing buprenorphine, expand the addiction workforce, and dramatically increase access to care. Then, Cory Caldwell, senior policy analyst at the National Association of Medicaid Directors, discusses the new 'Medicaid Leaders Playbook for Building Public Health Partnerships,' developed in collaboration with ASTHO.

Community health workers (CHWs) play a critical role in bridging the gap between health systems and the communities they serve, especially in rural and underserved areas. In this episode, ASTHO Senior Director of Population Health, Alex Kearly, explains who CHWs are, how they build trust and address both health and social needs, and why Medicaid reimbursement can help make these roles sustainable.

In this episode, Pennsylvania Secretary of Health and ASTHO member Dr. Debra Bogen joins us to break down a major change in national vaccine guidance, and why it has sparked concern among pediatric and public health leaders.

In this episode, ASTHO’s Catherine Jones, senior analyst for government affairs, breaks down the 2025 federal government shutdown, the longest in U.S. history, and what made it uniquely disruptive compared to the 2018–2019 closure.

In this episode: how telehealth has evolved from a pandemic-era necessity into a powerful tool for improving access to health care. ASTHO senior analyst Ashley Cram breaks down the different types of telehealth, from video visits and audio-only consultations to remote patient monitoring, and why each plays an essential role for patients facing challenges like provider shortages, transportation barriers, or limited broadband access. Also, State Epidemiologist Tracy Miller explains how a partnership with North Dakota State University created a student assistantship program that gives MPH students hands-on experience, builds leadership skills among early career staff, and strengthens public health capacity. She shares lessons learned, how the model evolved, and why it could be a blueprint for other states and health departments looking to grow the next generation of public health professionals.

On today’s Best Of PHRME episode, Maria Courogen, executive director for the Center for Access to Whole Person Care at the Washington State Department of Health, explains how her state worked to enable the continued support of community health workers (CHWs) by developing a sustainable funding model; Dr. Heather Krasna, associate dean of career and professional development at Columbia University’s Mailman School of Public Health.

Dr. Novneet Sahu, deputy commissioner for public health at the New Jersey Department of Health, discusses his state’s multi-pronged strategy to improve vaccine access and address vaccine confidence in response to a national rise in pediatric flu deaths; Thaddeus Pham, viral hepatitis prevention coordinator at the Hawaii Department of Health, explains...

Dr. Manisha Juthani, commissioner of the Connecticut Department of Public Health, joins the show for the first time as ASTHO’s president to discuss her plans for the new term; Dr. Karen Hacker, health policy fellow at Emory University’s Rollins School of Public Health, co-authored an article...

Francesca Provenzano, public health section chief of the Office of Public Health Preparedness and Response with the Connecticut Department of Public Health, discusses themes and insights from her term as chair of ASTHO’s Director of Public Health Preparedness Peer Network; Dr. Sara Collins, senior scholar for expanding coverage and access and tracking health system performance at The Commonwealth Fund, walks through some of the trends...

Amelia Poulin, assistant director of emerging infectious disease at ASTHO, discusses how she was recently recognized as an honoree of de Beaumont Foundation’s 40 under 40 in Public Health awards; Christina Severin, director of public health law at ASTHO, breaks down her recent Health Policy Update,...

Mickal Lewis, associate director of the Center of Excellence on Dementia Risk Reduction with the Alzheimer's Association, shares how community health workers play an essential role supporting a continuum of care for community members with dementia, and how public health leaders can help advance progress; Jeffrey Ekoma, senior director of government affairs at ASTHO, provides an update on the current government shutdown and explains how federal health agencies are impacted in this week’s View from Washington, D.C. report,...

In this special episode of Public Health Review Morning Edition, Julie Sullivan, principal at BerryDunn, discusses how public health agencies can partner with Medicaid to share data and obtain needed resources while saving funds.

Catherine Jones, senior analyst of government affairs at ASTHO, breaks down what states need to know about the application for the Rural Health Transformation Program, and discusses ASTHO’s recent partnership with Cornerstone Government Affairs to host two expert panels on the subject; Dr. Lena Heilmann, director of the Colorado Office of Suicide Prevention with the Colorado Department of Public Health and Environment,...

Maria Courogen, executive director for the Center for Access to Whole Person Care at the Washington State Department of Health, explains how her state worked to enable the continued support of community health workers (CHWs) by developing a sustainable funding model; Dr. Heather Krasna, associate dean of career and professional development at Columbia University’s Mailman School of Public Health...

JW Randolph, deputy commissioner at the Tennessee Department of Health, shares how his state’s new Office for Healthy Aging has been successful in coordinating statewide efforts to care for Tennessee’s aging communities; Jeffrey Ekoma, ASTHO’s senior director for government affairs, provides an update on funding for the federal government in this week’s View From Washington, D.C. report...

Dr. Arti Barnes, chief medical officer at the Illinois Department of Public Health, describes how her agency is working collaboratively with other state departments to enhance access to pediatric vaccinations; Jeffrey Ekoma, senior director of government affairs at ASTHO, discusses changes to the CDC, this month’s federal funding deadline...

Madison Hluchan, ASTHO assistant director of Medicaid and value-based payment, details how a new ASTHO resource can help your team with the Rural Health Transformation Program; and JoAnne Deehr, ASTHO senior analyst for state health policy, shares prevention and response policies to reduce overdoses involving synthetic opioids.

Dr. Joseph Kanter, ASTHO CEO, and Kate McEvoy, executive director of the National Association of Medicaid Directors, discuss a new partnership between the two organizations; Dr. Joseph Kanter, ASTHO CEO,...

Dawn Shanafelt, director of the division of maternal and infant health for the Michigan Department of Health and Human Services, shares the policies and program that helped the state record its lowest infant mortality rate on record; Dulce Mendoza, senior analyst of island support at ASTHO, explains...