Af­ter years of promis­ing

Modern Healthcare - - Late News -

a ma­jor over­haul to an Obama-era man­aged­care rule, the CMS has is­sued a pro­posed reg­u­la­tion that makes smaller changes to the stan­dards states must meet when run­ning their Med­ic­aid plans. The pro­posed rule is­sued Nov. 8 would give states some new flex­i­bil­ity in set­ting rates for their man­aged-care plans and en­sur­ing in­sur­ance com­pa­nies have ad­e­quate provider net­works. The CMS worked with Med­ic­aid di­rec­tors to de­velop the pro­posal. The agency es­ti­mates that the pro­posed changes would save states $27 mil­lion and 120,000 cler­i­cal hours.

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