More than 30 states will elect Governors next month. These new Gov’s (possibly a few re-elects) will face unprecetented fiscal crises due to the drying up of enhanced Medicaid funding from the Feds and record high unemployment ratest that will linger into mid 2011.
These newly minted state CEO’s will be forced to spend an inordinate amount of time during their respective transitions dealing with the crushing weight of exploding Medicaid/CHIP enrollment and spending.
Critical decisions will be made in a compressed period of time. Coordination with legislative leadership, skilled budgeteers, and a newly formed “cabinet” will challenge the leadership skills of the Governors and their Transition Teams.
These new leaders will also be forced to deal with the selection of a state Medicaid director from a dwindling pool of experienced and talented professionals. Many of these administrators were exceptional but have given up, retired, or moved on to greener pastures in the private sector.
The decisions will be critical and the fate of healthcare reform hangs in the balance.