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KFF: 2025 Reconciliation Law Clamps Down on Medicaid State Directed Payments, CMS Proposes Implementation Rule

New statutory restrictions on Medicaid state directed payments—paired with a CMS proposed rule—could reshape how hospitals and other providers are reimbursed under managed care, with an estimated $911 billion in federal Medicaid spending reductions over a decade. The 2025 reconciliation law...

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