Newsletters

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.


03.02.17

Capped Federal Medicaid Funding: Implications for Texas

Under the current system, the federal government matches state spending on Medicaid so long as the state follows federal Medicaid rules.


02.22.17

Securing the Safety Net for America's Vulnerable Populations

Many older Americans have insufficient income and assets to protect them through retirement.


12.21.16

Capping Federal Medicaid Funding: Key Financing Issues for States

President-elect Donald Trump and Republican congressional leadership have called for a repeal of the Affordable Care Act (ACA) and a fundamental overhaul of the Medicaid program that would include imposing caps on federal funding to states.


12.19.16

Balancing Gene Therapy’s Promise and Price

Gene therapy is the therapeutic delivery of polymers into a patient’s cells for the purpose of treating a disease. Polymers interfere with gene expression or correct mutations.


12.15.16

Repeal of ACA Medicaid Expansion: Critical Questions for States

Much of the post-election debate over the potential repeal of the Affordable Care Act (ACA) has focused on the fate of the Marketplaces, the mandate, and popular insurance reforms such as the ban on preexisting conditions.


11.28.16

What Could Reconciliation Mean for Medicaid: Reviewing HR 3762

President-elect Trump and leaders in Congress have proposed a major restructuring of the Medicaid program, but very significant changes to Medicaid coverage and financing could be adopted even before that debate begins as part of a reconciliation bill aimed at repealing various provisions of the ...


06.23.16

Real-Time Data Analytics in Government Investigations and Reducing Exposure

It is not every day that the words “innovative” and “nimble” are used when referring to an agency of the federal government bureaucracy. Yet, after studying the playbook of sophisticated corporations, the Health Care Fraud Prevention and Enforcement Action Team (HEAT), run ...


05.31.16

Manatt on Medicaid: CMS Introduces Time-Limited MMC Supplemental Payments

On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) released its highly anticipated final rule to overhaul the regulations governing Medicaid managed care (MMC) and make conforming changes to state Children's Health Insurance Program (CHIP) regulations.