Cutting out the Middleman: How States Can Save Medicaid Dollars by Firing Pharmacy Benefit Managers - Institute for Responsive Government
NEW: We found that 13 states could save at least $100,000 to $29 million annually in Medicaid costs without cutting benefits or pharmacy reimbursements.
How? By cutting out the middlemen with corporate markups: Pharmacy Benefit Managers.
Read it here:
17.11.2025 16:13 β π 53 π 15 π¬ 1 π 0
The proposal also creates a producer group of election technology manufacturers to better coordinate the ecosystem.
28.10.2025 18:24 β π 0 π 0 π¬ 0 π 0
Their proposal, which won 2nd place, envisions federal legislation that directs a portion of pre-existing funding sources for transportation and cyberaccess towards modernizing voter registration systems at state DMVs and improving state/local election office technology.
28.10.2025 18:24 β π 0 π 0 π¬ 1 π 0
We were honored to have Gideon Cohn-Postar, our Senior Advisor for Election Infrastructure, join the Auburn University Elections Symposium with Caleb Hays to talk about their innovative proposal for broadening the federal funding base for federal elections grants.
28.10.2025 18:24 β π 0 π 0 π¬ 1 π 0
What can be learned from states that made good faith efforts with work requirements?
Lessons from New Hampshire
Check out the piece referenced by @besttrousers.bsky.social on @donmoyn.bsky.social's Can We Still Govern here: donmoynihan.substack.com/p/what-can-b...
03.09.2025 20:28 β π 8 π 3 π¬ 0 π 0
Important read from @civicdesign: Their four principles for designing clear, effective government forms:
1β£ Make it trustworthy.
2β£ Explain the problem clearly.
3β£ Be specific about the problem.
4β£ Tell them how to take action successfully.
More here: civicdesign.org/form-letters...
03.09.2025 20:26 β π 18 π 7 π¬ 1 π 0
My Statement on Trumpβs Proposed Executive Order to Ban Mail-In Voting
19.08.2025 19:02 β π 8 π 3 π¬ 1 π 1
New Responsive Gov Resources: Why President Trump Canβt Ban Mail Voting or Interfere with Election Equipment - Institute for Responsive Government
President Trump has no authority to upend state voting policies.
Vote by mail is critical to millions of American voters, especially rural voters, elderly voters, and the many eligible voters who have to work on Election Day.
Read our full statement:
19.08.2025 15:38 β π 0 π 0 π¬ 0 π 0
Why We Can Trust Voting Machines - Institute for Responsive Government
Election equipment is also closely monitored, controlled, & checked for accuracy. It undergoes rigorous testing before elections & careful audits afterward, with bipartisan teams watching every step.
Read our factsheet on why voting machines are secure:
19.08.2025 15:38 β π 0 π 0 π¬ 1 π 0
Why Mail Ballots Are Secure: Layered Safeguards - Institute for Responsive Government
President Trump announced plans to issue an executive order to halt mail voting and interfere with voting equipment.
Here are the facts: Voting by mail is safe & secure, with overlapping safeguards at every step of the voting process. Read our factsheet:
19.08.2025 15:38 β π 0 π 0 π¬ 1 π 0
ERIC for Medicaid - Institute for Responsive Government
Responsive Gov is proud that ERIC for Medicaid β a solution we proposed earlier this year β made it into H.R. 1 last month. ERIC for Medicaid is a smart fix that will significantly improve list accuracy and save billions of tax dollars.
Read more about it here:
18.08.2025 18:25 β π 0 π 0 π¬ 0 π 0
Fixing Duplicate Medicaid Enrollments through Smart Government IT | The Foundation for American Innovation
The Foundation for American Innovation.
ERIC for Medicaid "addresses real inefficiencies without reducing benefits, strengthens the technical backbone of Medicaid, and sets the stage for broader improvements to how government delivers services."
Important read by βͺ@sorendayton.bsky.socialβ¬ of FAI:
18.08.2025 18:25 β π 0 π 0 π¬ 1 π 0
On CMSβs 60th Anniversary, All Eyes Are on Medicaid - Institute for Responsive Government
Today marks 60 years of CMS β a vital agency offering services to 160M+ Americans.
At the same time Medicaid faces damaging cuts, Congress took a promising step by adopting ERIC for Medicaid β a plan to cut duplicate enrollments & save billions of dollars: responsivegov.org/on-cmss-60th...
30.07.2025 15:29 β π 2 π 0 π¬ 0 π 0
Opinion | Trump, the House and the Epstein Files
The Trump administrationβs latest effort to undermine trust in our elections & the public servants who administer them?
DOJ efforts to prosecute election officials.
We're appalled. Read the @nytimes.com LTE from our executive director, Sam Oliker-Friedland: www.nytimes.com/2025/07/23/o...
23.07.2025 19:21 β π 0 π 0 π¬ 0 π 0
Project for Election Infrastructure Welcomes Initial Investment, Calls for Additional Election Security Funding β Project for Election Infrastructure
We echo the Project for Election Infrastructure in welcoming $15M in proposed election infrastructure funding in the FY26 Financial Services & General Govt. bill.
But $400M is what's really needed for secure elections.
Read PEI's full release here: modernizeourelections.org/project-for-...
23.07.2025 15:23 β π 1 π 0 π¬ 0 π 0
In NYC's mayoral race, many saw @zohrankmamdani.bsky.social's win as validation for RCV.
In reality, it was more complicated. βIn this case, RCV didnβt mitigate polarization. It arguably masked it.β
Read the full op-ed from our ED, Sam Oliker-Friedland in @thehill.com: thehill.com/opinion/camp...
22.07.2025 15:38 β π 2 π 0 π¬ 0 π 0
Trumpβs DOJ wants states to turn over voter lists, election info β’ Stateline
The U.S. Department of Justice is seeking the voter registration lists of several states β representing data on millions of Americans β and other election information ahead of the 2026 midterms, raisi...
The Department of Justice is seeking voter data on millions of Americans.
ββ¦ itβs really, really significant in terms of the volume of materials that are required to be retained.β - Neal Ubriani, Responsive Gov Research Director
More via @jonshorman.bsky.social:
17.07.2025 19:13 β π 0 π 0 π¬ 0 π 0
Updates to stormwater permitting processes have produced another $124 million in savings. The list goes on.
Virginia is modeling a deeply successful, thoughtful, results-based approach to fixing bureaucracy and reducing red tape in the service of everyday Americans.
10.07.2025 15:53 β π 0 π 0 π¬ 0 π 0
Some real impacts for Virginians?
Building Code reforms cut the cost of constructing a new home by over $24,000, saving VA homebuyers $723 million/year.
Faster licensing at the Department of Professional and Occupational Regulation has cut approval times from 33 days to 5.
10.07.2025 15:53 β π 0 π 0 π¬ 1 π 0
Virginia Shows A Smarter Path To Regulatory Reform
Virginia cut 26.8% of regulatory requirements, saving $1.2B annuallyβoffering a smarter, data-driven alternative to DOGEβs blunt federal cuts at the federal level.
A case study in cutting red tape: Virginia Gov. Youngkin announced that the state's Office of Regulatory Management, set up in 2022, has slashed regulatory requirements in the VA Administrative Code by 27%, saving Virginians more than $1.2 billion per year. π§΅
10.07.2025 15:53 β π 0 π 0 π¬ 1 π 0
America Has Pulled Off the Impossible. It Made Getting a Passport Simple.
Washington is not exactly known for tech innovation. So how did a team of bureaucrats put their stamp on a new program for renewing passports online?
Working through significant challenges, the State Department revamped the online system for a process thatβs long been a pain in Americansβ side: renewing or applying for a passport.
The result? A quicker, simpler process; 94% positive reviews; & recorded increased trust in government. Read more:
07.07.2025 16:57 β π 1 π 0 π¬ 0 π 0
Wyden Reintroduces Bill to Allow All Americans to Vote at Home | U.S. Senator Ron Wyden of Oregon
The Official U.S. Senate website of Senator Ron Wyden of Oregon
βEvery eligible American should have the opportunity to cast their ballot in an accessible and secure way, and thatβs exactly what this legislation ensures." - Responsive Gov Action Executive Director Sam Oliker-Friedland
Thank you @wyden.senate.gov for reintroducing the Vote At Home Act:
27.05.2025 16:09 β π 1 π 0 π¬ 0 π 0
Message from Co-Directors
π¨ Big congrats to our friends at HIP β now Health in Partnership! Same vision and values, new name and look to better reflect their current work. π Learn more: www.healthinpartnership.org/message-from...
20.05.2025 18:27 β π 0 π 0 π¬ 0 π 0
Opinion | Check the Box for Secure Voting
The Presidential Election Campaign Fund is obsolete, but hereβs a way to revive the idea behind it.
βWhy not transform the Presidential Election Campaign Fund, which has sunk into obscurity, into the Election Security Fund?β
Adequate, reliable funding makes for stronger elections. This is an innovative funding solution from former Sen. Roy Blunt in @wsj.com: www.wsj.com/opinion/chec...
15.05.2025 21:47 β π 1 π 0 π¬ 0 π 0
From security threats to outdated infrastructure & equipment, election administrators face many challenges that require major resources to address.
Federal funding is critical to ensuring secure, accessible elections. Itβs long past time for Congress to commit to $400m in elections funding.
15.05.2025 16:09 β π 0 π 0 π¬ 0 π 0
Proportional Representation: An Intervention for More Electoral Competition and Better Governance - Institute for Responsive Government
From our latest white paper by former Alaska State Rep. Jonathan Kreiss-Tomkins: "Goodness knows that this country desperately needs systems-level change given recent political history. I believe proportional representation can be part of the solution."
14.05.2025 17:27 β π 0 π 0 π¬ 0 π 0
What could election offices do with adequate federal funding?
β’ Patch critical cybersecurity vulnerabilities;
β’ Replace outdated voting machines;
β’ Upgrade voter registration databases;
β’ Hire qualified staff;
And more.
Congress should allocate $400m in elections funding.
14.05.2025 15:42 β π 1 π 1 π¬ 0 π 0
Election administrators at the state and local levels work tirelessly to run safe, accessible, impartial elections. Congress should equip local election officials with the tools they need to continue to strengthen our democracy by appropriating $400m for election infrastructure.
13.05.2025 20:45 β π 1 π 0 π¬ 0 π 0
Stateline provides daily reporting and analysis on trends in state policy. Part of the @statesnewsroom.com journalism network.
Democracy Reporter, Stateline.
Past: The Kansas City Star
Kansan. KU graduate.
jshorman@stateline.org
U.S. Senator for Oregon. Rotisserie chicken enthusiast. Senateβs resident privacy hawk.
senatefinance.bsky.social
wydenpress.bsky.social
Staff writer, @theatlantic
Fan of mentors, Kinsey Millhone and the snooze button. Signal: yvonnewingettsanchezwapo.46
I write Popular Information, an independent newsletter dedicated to accountability journalism. | judd@popular.info | Signal: juddlegum.47
Popular.info
Policy Professor, Ford School, University of Michigan.
Irish immigrant. Administrative burdens guy.
Free newsletter, Can We Still Govern?: https://donmoynihan.substack.com
Michiganβs 75th District State Representative
Health policy, PC Basketball, Sailing
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Nobody knows politics and policy like we do.
www.politico.com
Editing news at @POLITICO.com. Nothing you say will upset me more than the Mets. Email me at zmontellaro(at)politico(dot)com
Editorial director at Votebeat, managing special projects and newsroom enthusiasm. Finding joy everywhere. Prev: ProPublica. You need a corn dog, I can tell. Texan. jhuseman at votebeat dot org.
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@npr.org correspondent reporting on how elections, the census and the U.S. Postal Service work β’ signal: hansi.01 β’ email: hwang@npr.org β’ newsletter: hansilowang.com/stay-in-touch