CMS just released the 2025-26 #MedicaidManagedCare Rate Development Guide, a resource for states to use when setting capitation rates with managed care plans.

Learn more: www.medicaid.gov/medicaid/man...

#Medicaid #ManagedCare #MedicaidPolicy

Curious if the same dynamic in #RiskAdjustment plays in #ACA market with #MedicaidManagedCare entities being able to more aggressively risk adjust early on for their individual market enrollees relative to single line insurers

onlinelibrary.wiley.com/doi/epdf/10....

Text from the NBER working paper on Medicaid Managed Care for disabled beneficiaries being substantially higher after privatization.

I wonder how much of this effect in #MedicaidManagedCare is a political-economy trade of more money for Medicaid if and only if the money goes through private insurers?

www.nber.org/system/files...

Anu Warrior UMich interrogates #medicaidmanagedcare impact of home and community based services in Texas at @appam.bsky.social

#healthpolicy