Newsletters

07.22.14

Avoiding the Regulatory Land Mines of Commercial ACOs

While providers are showing great interest in creating ACOs to participate in the Medicare Shared Savings Program (MSSP), they are showing even greater enthusiasm for organizing ACOs to contract with private insurers.


07.02.14

Manatt on Medicaid: The Emerging Conversation About the Future of CHIP

During passage of the Affordable Care Act (ACA), a debate erupted over the future of the Children’s Health Insurance Program (CHIP), a well-established program that now offers coverage to 8 million children in low- and moderate-income families.


06.23.14

Removing Regulatory Barriers to Accelerate EHR Adoption

Recognizing the potential long-term value of EHRs for improving care and reducing costs, many hospitals considered offering physicians financial support to purchase EHR software and related health IT items and services.


06.05.14

Addressing Patients’ Social Needs: An Emerging Business Case for Provider Investment

Social and economic factors such as income, educational attainment, access to food and housing, and employment status have a profound impact on health.


05.22.14

Litigation Arising from the Affordable Care Act: The Blessing and Curse of Interesting Times

The Affordable Care Act (ACA) has brought the most sweeping changes to the healthcare delivery and payment systems in the United States since at least the Medicare Act of 1965, and probably even before that.


05.20.14

Manatt on Medicaid: Indiana Releases Draft Waiver for Approval to Implement ACA Medicaid Expansion

On May 15, 2014, Indiana released a draft waiver under Section 1115 of the Social Security Act, requesting approval to implement a Medicaid expansion through the Healthy Indiana Plan (HIP) 2.0, building on its existing Medicaid managed care and health saving account (HSA) programs.


05.14.14

Manatt on Medicaid: Are Health Homes Here to Stay?

Launched amid a flurry of activity in late 2010, the Affordable Care Act’s (ACA’s) Medicaid health home program was quickly adopted by several states.


04.24.14

Manatt on Medicaid: Supporting Medicaid Delivery System Transformation through Federal Waivers

States have long relied on Section 1115 Medicaid waivers to advance payment and delivery reforms in their Medicaid programs, including far-reaching managed care programs and innovative provider-led care management initiatives.


04.23.14

Assessing the Medicare Shared Savings Program: Diverse Participants, Diverse Results

Rising healthcare costs and declining reimbursements have placed immense pressure on providers and health systems to manage the health and costs of the populations they serve more effectively.


04.17.14

Manatt on Medicaid: Medicaid By the Numbers

Even as many in the news media have been trying to untangle the latest data on Marketplace enrollment, an equally important and still-evolving story is playing out on the Medicaid side of the open enrollment equation.