Newsletters

07.28.15

Manatt on Health Reform: Weekly Highlights, July 28, 2015

CMS offers a special enrollment period for HealthCare.gov enrollees whose incomes were miscalculated due to system error; California Marketplace announces two new insurers; and Connecticut’s budget reduces eligibility levels for Medicaid parents.


07.22.15

Strategies for Supporting Informed Consumer Decision-Making in the Health Insurance Marketplace

Roughly 16.4 million people have gained health coverage in the five years since passage of the Affordable Care Act (ACA), and more than 11 million people signed up for marketplace plans during the second open enrollment period alone.1,2


07.21.15

Manatt on Health Reform: Weekly Highlights, July 21, 2015

In quick succession, governors in Alaska and Utah announce Medicaid expansions this week; Iowa is transitioning its expansion away from the Marketplace to Medicaid managed care, for now; and, HHS extends its exception to Medicaid cost allocation rules for human services programs.


07.14.15

Manatt on Health Reform: Weekly Highlights, July 14, 2015

Montana’s Medicaid expansion waiver seeks monthly premiums and a “third party administrator”; Rhode Island’s Medicaid working group recommends pursuing a DSRIP waiver; and Utah’s Medicaid expansion discussions are put on hold until 2016.


07.07.15

Manatt on Health Reform: Weekly Highlights, July 7, 2015

Ohio passes a budget mandating that the State request a waiver to implement Medicaid Health Savings Accounts; in Nevada, Marketplace enrollees who experienced technical difficulty obtaining coverage are eligible for a tax-penalty exemption; and a national report finds modest increases in 2016 ...


06.30.15

Manatt on Health Reform: Weekly Highlights, June 30, 2015

Topping the news, last week's King v. Burwell ruling preserved subsidies for the 6.7 million people receiving them through the federal marketplace.


06.25.15

SCOTUS Upholds Subsidies in King v. Burwell: A Look at the Ruling and Its Implications

In a 6-3 decision today, the Supreme Court ruled that individuals who enroll in health insurance through the federally facilitated marketplace (FFM) may continue to receive federal tax subsidies to help pay for their coverage.


06.23.15

Manatt on Health Reform: Weekly Highlights, June 23, 2015

This week...no clear consensus has emerged among congressional Republicans on how to manage potential King v. Burwell fallout; California will expand Medicaid to undocumented children; and New York is poised to become the first state to establish pregnancy as a qualifying event for Marketplace ...


06.22.15

Examining Fee Splitting Statutes in the Context of Value-Based Healthcare

Fee splitting prohibitions are aimed primarily at situations where a healthcare professional, in order to generate patient referrals from other licensed or unlicensed persons, splits part of the professional fee earned from treating the referred patient with the source of the referral.


06.18.15

New Analysis of Delivery System Reform Incentive Payment Waivers—Early Results and Issues to Watch

Introduced originally in California and followed by Texas, Massachusetts, New Jersey, Kansas and New York, Delivery System Reform Incentive Payment or DSRIP programs are a key feature of the dynamic and evolving Medicaid delivery system reform landscape.