Insights & Perspectives

Medicaid is entering a period of significant change. New work requirements, shifting financing models, rising healthcare costs, and growing pressure on state budgets are creating new challenges for managed care organizations, while the need to improve access, experience, and outcomes remains as important as ever. MCRA Members GoMo Health and Avalere Health team up to offer insights on the Medicaid policy changes and how managed care organizations can respond.

Medicaid work requirements are expected to start January 2027, with narrower exemptions than anticipated. Learn how life sciences companies, plans, and providers can support patients.

New Medicaid community engagement requirements are on the horizon, bringing significant operational and compliance considerations for Medicaid managed care organizations (MCOs). Read the full analysis to learn how MCOs can position themselves for success in a rapidly evolving Medicaid landscape.

M3P isn’t just about payment flexibility, it’s about making healthcare more accessible, understandable, and member-friendly. Command Direct breaks down the mandate.

Avalere Health explores the changes to provider tax provisions included in the One Big Beautiful Bill Act. The article discusses how it will impact state Medicaid funding, and its effects will be felt by plans and providers.

HealthCorum discusses what's in the One Big Beautiful Bill and where there are hidden opportunities for payers, high performing providers and employers.