Better Care, Better Cost Act

The Better Care, Better Cost Act requires states to consider how well managed care organizations perform when deciding which ones to assign Medicaid beneficiaries to. Starting in 2028, states must create a system to score these organizations based on factors like medical costs, hospital readmissions, emergency visits, and patient satisfaction. Additionally, states must publish annual reports showing how using these scores changes enrollment patterns and estimates savings. This law directly affects state Medicaid programs and the managed care companies that serve them by mandating performance-based decision-making.