Since its passage with bipartisan support in 2015, the regulatory impact of the Medicare Access and CHIP Reauthorization Act (MACRA) is far-ranging. 

After an initial attempt to repeal the Affordable Care Act (ACA), negotiations and discussions on such legislation continue on Capitol Hill. 

CAP recently published two new resources you may find helpful, an updated 2017 Human Resources Manual and a MACRA white paper.

Last month, CAPsules addressed alternatives to current methods for federal funding of Medicaid and examined “block grants” -- a method by which a total fixed dollar amount is given to every state to run the program. Another path being considered is the “per capita allotment” model, consisting of a per-patient-per-month capped amount.

In the ongoing “repeal and replace” discussion surrounding the Affordable Care Act, a constant focus is the topic of block grants to pay for Medicaid (known in California as Medi-Cal). One of the proposals being considered is a renewed use of block grants.