Trump appears to continue his drive to implement the block grant approach to decrease costs for skilled nursing through Medicaid, though it is unclear whether he will do it through spending caps or stricter requirements for block grants:
Trump sent providers reeling shortly after his inauguration when he made a first run at instituting the block grant approach. Healthcare providers and consumers banded together to beat back the contentious effort. It is believed that this time, however, the administration is pursuing plans on a much quieter scale.
Three sources told the website that the administration is now drafting guidelines of the “major Medicaid overhaul,” which would shift from open-ended entitlement to stricter state spending limits and more flexibility in running the payment platform.