Medicaid spending accounts for 38% of Ohio's budget - that's 12 billion taxpayer dollars. There's little good news here - the numbers are only getting bigger. Reform efforts in Ohio are looking to put the Medicaid house in order, considering new initiatives including the creation of a Department of Medicaid. On The Sound of Ideas, we'll look at those retooling efforts and find out what the big challenges, and possible solutions, actually are. That's Tuesday morning at nine on 90.3.Mark Rollenhagen, Columbus Bureau Chief, The Plain Dealer; John Begala, former executive director, Center for Community Solutions; Brian Quinn, finance director, MetroHealth Medical Center