Final Medicaid Managed Care Rule Eases Network Adequacy Standards

By Chelsea Cirruzzo / November 9, 2020 at 6:49 PM
The Trump administration on Monday finalized a rule to roll back Obama-era Medicaid and Children’s Health Insurance Plans managed care regulations by, among other things, easing network adequacy requirements, which the agency said will reduce administrative burden. The rule was first proposed in 2018 with provisions to give states more freedom to define network adequacy in Medicaid managed care and to set the capitation rates paid to Medicaid plans. The changes are aimed at easing various requirements that kicked in...

Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.