July 8, 2024

Medicaid Final Rule Increases Oversight of Provider Taxes

Digital Checkup with Susan Moore, HIMSS

Healthcare attorney Zubin Khambatta was interviewed by the Healthcare Information and Management Systems Society (HIMSS) about the Centers for Medicare & Medicaid Services' (CMS) final rule related to Medicaid managed care. The new rule is designed to improve access to care for beneficiaries by implementing measures such as maximum wait times for certain appointments as well as secret shopper surveys to ensure patients experience improved access to care. Mr. Khambatta spends much of the conversation explaining the rule's other provisions adding new compliance guardrails regarding state-directed payments, which are payments that states direct Medicaid managed care organizations to make to hospitals and other kinds of providers. In particular, CMS clarifies in the rule that hold-harmless arrangements for provider taxes are impermissible under federal law. Mr. Khambatta also notes a challenge pending in the state of Texas preventing the rule from taking effect and discusses whether it could benefit Medicaid patients.

Duration: 12:39

This interview was also featured on the following networks:

Healthcare Finance News
Mobi Health News


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