Managed Health Care Connect November 8, 2018
The Centers for Medicare & Medicaid Services (CMS) has announced regulatory revisions aimed at streamlining the 2016 managed care regulatory framework. According to CMS, the revisions reflect a broader strategy to relieve regulatory burdens, support state flexibility and local leadership, and promote transparency, flexibility, and innovation in care delivery.
The 2016 managed care final rule was a substantial rewrite of the Medicaid and Children’s Health Insurance Program (CHIP) regulatory structure. The rewrite included provisions that many states and stakeholders identified as unnecessarily prescriptive. The stakeholders also said that it added unnecessary costs and administrative burden to state Medicaid programs without contributing to the improvement of health outcomes.
In order to reduce state administrative burden and enhance the ability of states...
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