RMB-1 - Beyond the Budget: Trending Medicaid Issues in 2025

As states and the federal government navigate a post-pandemic fiscal environment, long-term care providers are encountering a new era of Medicaid policy evolution marked by regulatory complexity, financial recalibration, and increased accountability. This expert panel discussion will explore the most pressing Medicaid reimbursement and compliance trends affecting skilled nursing and assisted living providers in 2025. Topics will include implementation patterns for state-specific versions of the Patient-Driven Payment Model (PDPM), the rise of budget adjustment factors as tools to manage fiscal volatility, the expanding role of Value-Based Purchasing (VBP), and the renewed federal scrutiny of financing structures in state Medicaid plans—particularly within the context of Budget Reconciliation.

Panelists will provide legal, financial, and policy perspectives on how these changes intersect with provider operations and state-federal dynamics, and how dual-eligible policy reform continues to shape service delivery. Attendees will gain a forward-looking view of how providers, associations, and policymakers are navigating these evolving dynamics to preserve care quality, access, and financial viability across the continuum.