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Colliding factors threaten to 'muddy' state Medicaid reimbursement

Several converging factors and changing cost-setting strategies could make the next few years especially complicated for state Medicaid. ....

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Providers 'on notice' as CMS pressures states to shift Medicaid pay metrics

Providers still struggling to accurately capture diagnoses that drive federal reimbursement will be doubly left behind as more states start to use Patient Driven Payment Model-like systems to determine long-stay Medicaid pay rates. ....

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