This week, our In Focus section reviews initial takeaways from the Medicaid managed care proposed rule (Link to PDF), issued on Tuesday, May 26, 2015, by the Centers for Medicare & Medicaid Services (CMS). The proposed rule, which had been anticipated over the last several months, addresses regulations regarding Medicaid managed care plans, including managed care organizations (MCOs), as well as other managed care entities such as PIHPs, PAHPs, and PCCM programs. The proposed rule seeks to align Medicaid managed care with Qualified Health Plans (QHPs) available on the Marketplaces, as well as Medicare Advantage (MA) plans. Additionally, the proposed rule addresses medical loss ratios (MLRs), actuarial soundness and rate certification, quality measurement and delivery system reform initiatives, program integrity, and beneficiary protections, among other provisions.