State Medicaid Agencies Face New Performance Management Demands Under 2024 CMS Quality Rating Rule

This white paper examines how state Medicaid agencies can strengthen their oversight of MCOs through improved performance management systems, particularly in light of the 2024 CMS final rule requiring quality rating systems by 2028. The analysis outlines common challenges states face in monitoring managed care programs and proposes strategies for using data and performance measures more effectively to drive improvements in access, quality, and equity. The piece is directly aimed at helping state Medicaid directors and MCO oversight teams adapt to heightened federal accountability requirements while building stronger partnerships with health plans.

Managed Care · CHIP

This is outside commentary from Milliman, not part of Medicaid Monitor's independently scored news coverage.

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