The Trump administration's "One Big Beautiful Bill" is poised to significantly impact healthcare providers by changing Medicaid financing and reimbursement. Meghan Linvill McNab, a partner at Krieg DeVault who focuses on Medicare and Medicaid reimbursement, describes key contours of the new landscape: placing limitations on provider taxes and levels of state directed payment programs in Medicaid managed care. With host George Lepeniotis, she explains that the bill will limit some opportunities for states to use non-state dollars to fund their portion of a Medicaid expenditure. “That’s going to result in either the state having to put up more funding to keep reimbursement at the current levels, or it's going to result in reimbursement to providers decreasing because there's not as much funding,” she says. “So, something has to give to keep the balance.”

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