This document discusses CMS 2390-P, a proposed rule that aims to align Medicaid managed care programs more closely with Medicare Advantage and commercial qualified health plans. It provides an overview of major provisions in the proposed rule, including expanding federal oversight of state rate-setting and requiring states to implement comprehensive quality strategies. It also discusses the growth of Medicaid managed care programs and the increasing role they play in Medicaid spending. Conifer Health Solutions is presented as an expert that can help organizations succeed with managed Medicaid through services like care coordination, network management, risk modeling, and reporting and compliance.