The state budget is facing a billion deficit next fiscal year. We have 31 ways to both save money and improve quality and access to care. The options focus on payment reform, re-engineering care delivery, engaging consumers, quality reforms and prevention, learning from experience, removing waste and excessive administration. In 2010 we only had fifteen ways to save. One of those, shifting HUSKY from capitated managed care to self-insured, coordinated care. We recently learned that the shift is saving the state millions.