Medicaid Managed Care

CMS has reportedly conditionally approved Florida’s Medicaid managed care state-directed payment program, keeping supplemental hospital/provider funding in play but likely with added federal scrutiny around financing, payment integrity, and whether directed payments advance measurable access and quality goals rather than simply backfilling rates. At the same time, Medicaid managed care stakeholders are absorbing the downstream implications of the Trump-signed One Big Beautiful Bill Act, which Milbank projects will sharply reduce coverage and federal health spending—raising near-term risk for MCO enrollment, provider uncompensated care, and VBC contracts tied to population health outcomes for Medicaid beneficiaries (Milbank analysis; [Florida directed payment report via HTN](https://elinkfef.healthtechnerds.com/ss/c/u001.IJ8fKDn4wqwf7Y0HdtvS_z5I3ijcif1TqXheqGNXheGToFs27La136nx9_UsI91WyYNXMyFCT7d6UPDRufoZkfd_LMFpssNuOBaFER4LS5avKdXgHU_VqI8JOgcDZNx3-itYoklqxq7iCgMd3IndWRCm1wS6VdV6WF