Commonwealth Fund June 26, 2024
TOPLINES
Two new CMS rules could help improve health care access and quality for millions of Medicaid and CHIP beneficiaries.
Under new CMS rules, states will begin publishing comparative reports on provider payment rates for core outpatient and home and community-based services.
On April 22, the Centers for Medicare and Medicaid Services (CMS) released two highly anticipated final rules that reshape the landscape for payment transparency and access to care in Medicaid and the Children’s Health Insurance Program (CHIP). The first rule — Managed Care Access, Finance, and Quality — focuses on improvements to Medicaid managed care, which serve nearly three-quarters of Medicaid enrollees. The second — Ensuring Access to Medicaid Services — focuses on fee-for-service (FFS) programs and improvements...
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