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New Medicaid Rule Promotes Transparency and Should Improve Quality of Care
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Medicaid is complicated.
In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the newly finalized regulations concerning Medicaid, specifically as they pertain to the Managed Care Rule. These new regulations aim to increase transparency and improve access in states' Medicaid programs. Key points discussed include: changes in state-directed payments to ensure they are reasonable, enhanced requirements for reporting and evaluation, alterations in the medical loss ratio, imposition of enrollee protections, and improvements in the quality of care through careful evaluation and public comments.
Tune in as Stephanie helps simplify the complexities of the new Medicaid rules.
Meet Your Host
Name: Stephanie Kennan
Title: Senior Vice President, Federal Public Affairs at McGuireWoods Consulting
Specialty: Stephanie Kennan helps clients navigate the legislative and executive branches of the federal government to solve problems involving a variety of healthcare policy issues. Her work focuses on providers, medical device manufacturers, drug manufacturers and associations concerned about Medicare and Medicaid reimbursement.
Connect: LinkedIn
Episode Highlights
[0:24] Broad overview of new “Managed Care Rule”
[2:17] New Rule implements transparency measures related to state-directed Medicaid payments
[4:20] States must report more specific data related to medical loss ratio
[5:07] Medicaid enrollees will receive more protections, including reduced appointment wait times and secret-shopper surveys of Medicaid services
[6:37] New Rule seeks to improve quality of care by requiring public comment on rule changes and external quality of care reports.
Contact
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