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    Four things to know: Payers’ biggest ACA repeal concerns




    “Medicaid expansion will likely end; block grants to states or a per capita allotment are being discussed as options for a Republican-based Medicaid program,” Kaufman reports. “These modifications will likely change the way states run their respective programs, which in turn, will impact the way Medicaid managed care companies do business. In addition, retraction of Medicaid programs due to the end of Medicaid expansion will result in reduced enrollment for Medicaid managed care companies in the future. The details of how future block grants or per capita allotment would work are unclear, as are the possibilities of new business opportunities for managed care companies under the yet to be developed system.” 



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