Newsletters

06.13.17

Manatt on Health Reform: Weekly Highlights, June 13, 2017

CMS seeks input on potential market stabilization rulemaking; Iowa proposes a single standardized Marketplace plan and reinsurance program; and Centene will expand its Marketplace offerings for 2018, including adding new states.


06.06.17

Manatt on Health Reform: Weekly Highlights, June 6, 2017

House Ways and Means Committee advances three discrete healthcare bills as part of the broader repeal and replace effort; Nevada sends Medicaid-for-all legislation to the Governor; and New York requires insurers to remain in the Marketplace or face exclusion from Medicaid.


06.01.17

Massachusetts Waiver Amendment Proposes Transportation Benefit and Eligibility Changes

On May 12, 2017, Massachusetts released for public comment a proposed amendment to its MassHealth Section 1115 demonstration. MassHealth is a comprehensive demonstration that applies to the State’s entire Medicaid population.


06.01.17

Manatt on Medicaid: Monthly Expansion Recap, May 2017

The House passed the AHCA after a last-minute amendment providing $8 billion intended to reduce out-of-pocket costs for patients with pre-existing conditions generated sufficient support from Republican moderates.


05.31.17

Manatt on Health Reform: Weekly Highlights, May 31, 2017

CBO says the House repeal and replace bill could destabilize the individual insurance market in some states; Indiana posts a work requirement amendment to its Medicaid expansion waiver application; and states allow insurers to file two sets of rates in case Trump Administration terminates CSR ...


05.24.17

Mapping the Healthcare M&A Landscape Under the New Administration

Healthcare M&A deal volume has been robust over the past five years and shows few signs of slowing down. Activity peaked in 2015—the year of the megadeal, particularly in the managed care and pharmaceutical arenas—with almost 1,100 deals approaching $100 billion in aggregate value.


05.24.17

Proposed 2018 Uncompensated Care Payment Methodology—Implications for Hospitals

Hospitals qualifying for the Medicare Disproportionate Share Hospital (DSH) program that receive uncompensated care payments should be aware that the Centers for Medicare and Medicaid Services (CMS) has resurrected its proposal to begin phasing in the use of uncompensated care data reported in ...


05.23.17

Manatt on Health Reform: Weekly Highlights, May 23, 2017

The President's budget proposes over $600 billion in Medicaid cuts on top of major reductions anticipated in repeal and replace legislation; the Trump Administration asks the Court for more time to decide on cost-sharing reduction payments under House v. Price, while states file a motion to try ...


05.22.17

A Closer Look at Wisconsin’s Premium Proposal

The State of Wisconsin recently proposed a Medicaid waiver that includes a number of precedent-setting features, including a 48-month time limit on enrollment (with the limit paused for periods of employment or job training), and mandatory drug screening, testing and treatment (as necessary), as ...


05.18.17

AHCA Would Affect Medicare, Too

Dual eligibles—Medicare beneficiaries who also are enrolled in Medicaid—account for one-third of all Medicaid spending and could be disproportionately affected by efforts to cut and cap federal Medicaid funding.