• 06.16.15

    Manatt on Health Reform: Weekly Highlights, June 16, 2015

    With the King v. Burwell ruling expected by the end of the month, Congressional Republicans continue to offer contingency plans in the event of a ruling for the plaintiffs; and the Mississippi Insurance Commissioner proposes a state-specific plan.

  • 06.11.15

    CMS Proposes Overhaul of Medicaid and CHIP Managed Care Rules

    On May 26, 2015, the Centers for Medicare and Medicaid Services (CMS) released a notice of proposed rulemaking (NPRM) to overhaul the regulations governing Medicaid managed care and make conforming changes to the rules that govern the state Children’s Health Insurance Program (CHIP).

  • 06.09.15

    Manatt on Health Reform: Weekly Highlights, June 9, 2015

    With an eye toward the imminent King v. Burwell ruling, Delaware submits a Supported State-based Marketplace blueprint to CMS and South Carolina’s governor says the State will not establish a State-based Marketplace.

  • 06.02.15

    Manatt on Health Reform: Weekly Highlights, June 2, 2015

    States continue to prepare for a potential decision adverse to the government in King v. Burwell, with Pennsylvania submitting an application to be a supported State-based Marketplace; CMS releases information reflecting wide variation in proposed 2016 premium increases from insurers in the ...

  • 05.27.15

    Manatt on Health Reform: Weekly Highlights, May 27, 2015

    CMS proposes a new rule to modernize Medicaid and CHIP managed care; the Florida saga continues with CMS proposing to extend—and reduce—LIP funding; and California's Marketplace approves a co-pay cap on specialty drugs.

  • 05.20.15

    Building a Culture of Health: The Value Proposition of Retail Clinics

    Retail clinics offer convenient, low-cost basic primary care treatment, screening and diagnostic services in a variety of settings. Increasingly, these clinics are an integral part of a U.S. healthcare system in the throes of massive change as payers and providers migrate toward the Triple Aim ...

  • 05.19.15

    Manatt on Health Reform: Weekly Highlights, May 19, 2015

    Washington and Iowa report surges in insurer participation in Marketplaces for 2016; Maine considers legislation to maintain premium subsidies regardless of King v. Burwell; and Manatt offers a free Medicaid webinar series.

  • 05.13.15

    CMS Proposes Permanent Enhanced Funding for Medicaid Eligibility Systems and Stronger Framework

    Last October the Obama Administration announced it would seek to continue enhanced federal funding for state Medicaid E&E systems, provided states meet updated systems standards and funding conditions.

  • 05.12.15

    Manatt on Health Reform: Weekly Highlights, May 12, 2015

    Latest numbers show dramatic post-ACA coverage gains; in California, an increase in dental-related ER visits follows cuts to Medicaid dental benefits; and the Massachusetts governor requests to maintain its definition of “small group employer” until the State can apply for a 1332 waiver ...

  • 05.05.15

    Manatt on Health Reform: Weekly Highlights, May 5, 2015

    This week Montana became the 30th state to expand Medicaid, and the battle over Medicaid expansion and uncompensated care reached a breaking point in Florida.

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