Obama Seeks to Add Teeth to MLR in Managed Medicaid Overhaul

Overview


Jeremy Earl said that, even if there is no legislation to implement the 2017 HHS budget proposal, the CMS could still implement a plan in the proposal giving it authority to mandate that states recoup funds when a Medicaid MCO fails to meet a suggested minimum loss ratio (MLR), because it falls short of making states impose a binding MLR requirement.