Medicaid Payments at Root of Flap Over Trump Proposal

Hospitals are balking at a Trump administration plan that would make it easier for states to cut Medicaid reimbursement without taking into account how that would affect health-care access.

The proposed Centers for Medicare & Medicaid Services rule (RIN:0938-AT41) scraps mandatory access evaluations in the 17 states where most enrollees are in managed care. It also raises the bar for how steep Medicaid payment decreases can be before data analysis requirements kick in, allowing states to forgo the assessments when the decrease is less than 4 percent in one year or 6 percent over two. The Trump administration has touted ...