Managed Care Rule Could Be Axed If Medicaid Shifts To Block Grants, Per Capita Caps

Lobbyists and consultants say the Medicaid managed care rule could be pulled back if lawmakers move Medicaid to a block grant, per-capita caps or other capitated payment system, as the rule could be seen as limiting state flexibility to run their programs. The House GOP's "Better Way" paper proposes that states choose either a block grant or a per-capita allotment for their Medicaid programs, or default into a per-capita cap approach. "By enhancing the incentives for states to better manage...