Illinois’ Medicaid program is a one-size-fits-all model that’s broken, and it’s failing Illinoisans on three fronts: costs, access to quality care and health outcomes. Illinois should follow the lead of states such as Florida and Louisiana and fundamentally transform how the program operates. To address these problems, Illinois should: give Medicaid patients meaningful choices for their health plans from a variety of provider service networks and managed care organizations, allow plan providers to customize their plans to meet the individual needs of their enrollees, which will help ensure plans compete on value, and pay plan providers a fixed, risk-adjusted monthly rate based on enrollment in a particular plan.