West Virginia

In every state, Medicaid delivery systems and payment methodologies suffer from inefficiencies that add needlessly to costs and sometimes even harm patient care. There are policies that tackle these wasteful practices, resulting in meaningful savings for states while maintaining or improving patient care. This table tracks West Virginia's progress on some policy options, and it shows that West Virginia still has substantial room to make its Medicaid program more efficient.

Before shifting costs onto beneficiaries or providers by enacting cuts in eligibility, benefits or provider rates, West Virginia should exhaust the opportunities identified below to make its program more cost-effective without harming patient care.

Made the Grade	Room to Improve	Miss the Mark
	Primary Care: Expanding the Use of Nurse Practitioners Primary Care: Health Homes	Long-Term Services and Supports: Balancing Incentive Program Payment Incentives: Decreasing Hospital Complications Payment Incentives: Reducing Hospital Readmissions Prescription Drugs: Setting Fair Prices Prescription Drugs: Academic Detailing