This session built on work MACPAC started last year to examine federal managed care rate setting requirements and oversight procedures. Based on that work, commissioners identified a number of policy areas that could be developed into potential recommendations. Since that time, the Centers for Medicare & Medicaid Services announced that it intends to publish proposed rulemaking in early 2023 that will address several of the same areas, such as treatment of in-lieu-of services and directed payments.
This presentation provided an overview of our prior findings and described additional research that can help inform discussion of policy areas for the Commission’s consideration, including areas that could be addressed in a future comment letter.