According to a report in National Journal, the Obama administration is likely to propose new federal regulations for Medicaid managed care affecting the more than 40 million Americans who receive health coverage through Medicaid. “It’s a lot like the recent Mayweather-Pacquiao fight,” Jeff Myers, president and CEO of Medicaid Health Plans of America, which represents managed care plans, told the reporter. “There’s lots and lots of hype around it, and it’s either going to be epic or it’s going to kind of fizzle.” The article went on to say that the new rules “could touch almost every area of managed care, which pays plans on a per-member basis instead of the traditional fee-for-service that just pays for each procedure, test, office visit, and so on.”
According to a report from the Congressional Budget Office, overall Medicaid spending on long-term care is projected to balloon from $60 billion annually to more than $100 billion in 2023 as baby boomers get older and require more care.
For more information, go online to nationaljournal.com.