Briefs & Reports

Webinar Alert: Get HMA’s “First Take” on New Medicaid Managed Care Regulations

Date: Thursday, May 28, 2015

Time: 3:00 to 4:00 p.m. EDT

The wait is over. CMS has finally released a new set of proposed Medicaid managed care and CHIP regulations – the first major update of federal rules for health plans in state-sponsored programs in more than a decade. The changes seek to align Medicaid managed care regulations with those of other government-sponsored programs, while at the same time fostering innovation, transparency, quality and financial viability. Like all such rules, details matter. And at more than 650 pages, these proposed rules have a lot of details to digest. It will take weeks – if not months – to fully understand the ins and outs of the new regulations. However, an initial read reveals several important themes likely to dramatically impact Medicaid managed care going forward.

During this webinar, HMA experts will provide a “first take,” with initial thoughts and reactions to key components of the new regulations. This will be the first in a series of webinars that will fully explore the implications of the new rules in the weeks and months ahead.

Learning Objectives

  • Understand CMS’s emphasis on aligning Medicaid, Medicare and commercial regulations and what this means as an underpinning for the regulatory framework going forward – including whether CMS can deliver on the promise of allowing flexibility for state innovation.
  • Assess the likely impact of the new Medical Loss Ratio requirements and how or whether a required MLR will really change things in practice.
  • Assess the burden vs. benefit of the new rate setting requirements.
  • Learn how the establishment of a quality rating system – along with renewed emphasis on transparency, performance measures and review – will require a dramatic shift in how Medicaid managed care plans operate and report results and how states monitor them.
  • Understand how regulations targeted specifically at Managed Long Term Services and Supports will have a dramatic impact on the shape of these programs going forward.
  • Find out how changes in marketing and enrollment requirements are likely to impact plan processes and operations.
  • Understand how the regulations are intended to promote flexibility of access to care for members with severe mental illness, including health plans’ ability to receive payments for enrollees with short-term stays in an institution for mental disease (IMD).


A panel of experts from Health Management Associates

Who Should Attend

Executives of Medicaid managed care plans; regulators and healthcare policy analysts; Medicaid directors and staff; state officials for public health; executives of health systems, health centers, and providers serving Medicaid populations. 

Register now for this free event.