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As states consolidate fragmented waiver structures and prepare for post-DSRIP futures, project portfolio management (PPM) is becoming the strategic engine behind successful transformation.
Whether managing an 1115 demonstration, value-based payment reform, or HCBS redesign, effective PPM helps states align programs with CMS goals, stakeholder needs, and operational capacity.
Aligns Multiple Streams Under One Vision
Waiver reform spans clinical redesign, provider capacity building, IT modernization, and payment model transitions. PPM ensures each initiative serves shared outcomes.
Improves Oversight and Risk Management
Project charters, dashboards, and milestone tracking allow Medicaid agencies to flag risks early, keep CMS reporting compliant, and manage shifting priorities.
Builds Institutional Resilience
When waivers end, portfolio governance helps ensure that transformation investments are sustained through managed care incentives, directed payments, or new waivers.
Establish an internal Medicaid Transformation PMO to oversee waiver portfolios.
Map each project to Triple Aim-aligned objectives: cost, quality, and access.
Co-design governance with stakeholders across Medicaid, public health, and IT.
Track cross-cutting metrics: rebalancing, ED utilization, HCBS penetration, equity benchmarks.
Embed CMS compliance milestones and build capacity for iterative waiver evolution.
