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10 key points: CMS unveils overhaul to Medicaid managed care

from Hospital CFO

CMS has unveiled a regulatory package containing the first major update to Medicaid managed care regulations in more than 10 years. Medicaid managed care, which is aimed at controlling healthcare cost, utilization and quality, has evolved into the dominant delivery system in Medicaid, with more than 42 million Americans enrolled in some form of Medicaid managed care, according to a Kaiser Family Foundation report. The regulations governing Medicaid managed care were last updated in 2002 and 2003, and the proposed rule CMS released recently seeks to "modernize" the system. more


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