Medicaid managed care rule creates rating system

By Paige Minemyer

The federal government on Monday issued a long-awaited final rule for Medicaid managed care plans, which creates a quality-rating system, allows states to set standards for network adequacy and limits how much money insurers can put toward administrative costs. The rule targets Medicaid plans that are managed by private insurers and marks the first overhaul of Medicaid and Children's Health Insurance Program (CHIP) in more than a decade. The updates "modernize" the way these managed plans operate, allowing Medicaid and CHIP to "continue to provide cost-effective high quality care to consumers," officials wrote in a Centers for Medicare & Medicaid Services blog post.  Read the full article at FierceHealthPayer

 

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