CMS Proposes Aligning Medicaid Managed Care With Other Sectors, Including Creating An MLR

CMS proposed Tuesday (May 26) an overhaul of the rules for Medicaid managed care plans that applies a national medical loss ratio to Medicaid managed care plans, adds long-term services, creates a grading system similar to Medicare Advantage star ratings, establishes network adequacy standards and trues up the rules for managed care among Medicaid, Medicare and private exchange plans. Medicaid Health Plans of America officials were still reading the 653-page proposal at press time, but plans dislike the national medical...