What are the market, policy, and financing trends that will impact how states manage Medicaid in 2018 and beyond? How are states connecting the need for health care coverage with improving the overall health of a community? How are changing demographics and the graying of Colorado impacting the services and expenses associated with our Medicaid program? What has been the impact of the current administration on the relationship with states and how they manage Medicaid in their own markets and regulatory environments? Medicaid is a partnership between states and the federal government and has become the nation’s largest health insurer. Yet it is regularly misunderstood and under attack at the state and federal level. At the same time Medicaid has the potential to anchor needed changes in the way we pay for and deliver health care in the U.S., and numerous states are leveraging Medicaid’s purchasing power to drive innovation and disruption in healthcare.