MACPAC’s March 2024 Report to Congress on Medicaid and CHIP contains three chapters of interest to Congress: (1) improving the Medicaid beneficiary experience through Medical Care Advisory Committees (MCACs), (2) increasing the transparency and improving the monitoring of the denials and appeals process in Medicaid managed care, and (3) our review of hospital payment policy for the nation’s safety-net hospitals.
- Chapter 1 makes recommendations on how state Medicaid agencies can improve beneficiary engagement on MCACs and actions the federal government can take to aid states.
- Chapter 2 focuses on the monitoring and oversight of denials and appeals in Medicaid managed care and makes recommendations to improve monitoring, oversight, and transparency of denials and appeals as well as the beneficiary experience with the appeals process.
- Chapter 3 fulfills MACPAC’s annual, statutorily required report on Medicaid disproportionate share hospital allotments to states for payments to hospitals that serve a high proportion of Medicaid beneficiaries and other low-income patients.
