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Events • May 27, 2014 

# The Economics of Medicaid and the Need for Reform 

Medicaid is already the largest item on many state budgets, and federal spending on the program is expected to increase dramatically in the next decade, putting additional strain on an already overextended national budget as well. As enrollment in the program expands under the Affordable Care Act, policymakers will face challenging decisions in how to best manage the program and its escalating costs moving forward. Please join us for a broad discussion of the economics of Medicaid and to hear ideas for reform from our diverse panel of experts.

[![Creative Commons License](/build/cato_2020/images/creative-commons.svg)](http://creativecommons.org/licenses/by-nc-sa/4.0/) 
This work is licensed under a [Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License](https://creativecommons.org/licenses/by-nc-sa/4.0/). 

##### Featuring 

![Jason Fichtner circle](/sites/cato.org/files/styles/author_picture/public/2024-03/jason-fichtner-circle.jpeg?itok=Bi5gOHGx) 

##### Jason Fichtner 

Executive Director, Retirement Income Institute

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](https://x.com/JJFichtner) 

##### Nina Owcharenko 

[![Michael D. Tanner](/sites/cato.org/files/styles/author_picture/public/2021-01/Michael%20Tanner.jpg?itok=fvQbEN_H)](/people/michael-d-tanner) 

##### [Michael D. Tanner](/people/michael-d-tanner)

Former Senior Fellow, Cato Institute

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](mailto:mtanner@cato.org) 

##### John Maniscalco