US EditionUnderstanding the Federal Reconciliation Bill’s Implications for MCO Tax Structure
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Understanding the Federal Reconciliation Bill’s Implications for MCO Tax Structure
New York’s Medicaid financing strategy—particularly its use of a managed care organization (MCO) tax—has come under renewed federal scrutiny amid recent legislative proposals and regulatory developments. The federal reconciliation bill, known as the One Big Beautiful Bill Act (OBBBA), alongside newly proposed guidance from the Centers for Medicare & Medicaid Services (CMS), could significantly influence how New York and other states structure he…
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