Nonprofit Medicaid Plans Ask Feds to Step In to Fix ‘Inadequate’ Pay Rates
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Oct 25, 2024
With the Medicaid unwinding process winding down, two health insurer trade groups are sounding the alarm about how the resulting changes in the Medicaid risk pool are putting financial stress on nonprofit and regional health plans. To address the situation, both the Alliance of Community Health Plans (ACHP) and Association for Community Affiliated Plans (ACAP) say they want the federal government to push states to raise the payment rates to private Medicaid plans.
“This is an issue that is impacting much of managed care across the country,” says Jennifer McGuigan Babcock, senior vice president for Medicaid policy at ACAP. “We have heard…anecdotally from our plans that should changes not be made for 2025, and potentially for 2026 rates, there will be significant problems.”
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