Season 2, Ep #34 – Episode III — Return of the Medicare Rate

Medicaid Managed Care State Directed Payments Rule

Our trilogy closes where a lot of state Medicaid financing quietly lives: state directed payments. CMS wants to swap the current commercial-rate benchmark for a Medicare-based one — and extend it further than the law technically requires. We close out the series with the $500-billion question of who absorbs the cut when the financing rug gets pulled.