New rules for Medicaid managed care could fuel a major expansion of managed long-term care {LTC} for elderly and disabled beneficiaries.Modern Healthcare reports that the Medicaid managed-care industry hopes the new rules “will create more uniformity in state programs, while patient advocates hope the rules will strengthen beneficiary choices, transparency, and quality oversight and protections….”
“In addition to a section on managed LTC, it’s also expected to address network adequacy and access to providers, rate setting and greater standardization of quality metrics across states.”
Experts say that the rules are overdue because Medicaid managed-care enrollment has been soaring.
