Impacts of the New Federal Medicaid Managed Care Rule

PHA Issue Brief on New MMC Rules

Opportunities to Improve Access and Quality of Care for Medicaid Beneficiaries

The managed care delivery system has grown to be the primary model for delivering Medicaid services to approximately 75% of the Medicaid population, and it has been almost a decade since the last set of comprehensive managed care rules were released.

On April 22, 2024, CMS released for public inspection a final rule, Medicaid Program; Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality. Through these final rules, CMS seeks to promote consistency and transparency, focusing on improving access, driving quality, and advancing equity for Medicaid beneficiaries served by managed care plans.

Our latest issue brief, created in collaboration with Population Health Alliance, aims to summarize key provisions within the 2024 final managed care rule and assess potential impacts and opportunities for states, MCOs, providers, and solution partners to meet the intended goal of improving access to and the quality of care for Medicaid enrollees.

Click here to download the issue brief, today.

Plus, explore more insights from Sellers Dorsey on the final managed care rule, including our recorded webinar.
Click here for more insights!