• 02.13.18

    What Are the Top 10 Medicaid Trends to Watch in 2018?

    Since its inception 51 years ago, Medicaid has evolved from a small welfare program into an integral part of the nation's health insurance system. Today, Medicaid is the country's largest insurer and the single largest payer in every state, covering more than 20% of the U.S. population. ...

  • 01.18.18

    New Medicaid Work and Community Engagement Requirements

    On Jan. 11, 2018, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Director letter providing guidance for states seeking 1115 waivers that condition Medicaid eligibility on work and community engagement, quickly followed by approval of Kentucky’s 1115 waivers ...

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    01.04.18

    State Options for Federal Changes to the Individual Market

    In a webinar for the Robert Wood Johnson Foundation, technical experts from Manatt Health, Georgetown’s Center on Health Insurance Reform and others outlined state considerations and options to address federal policy changes that could impact individual market stability. The experts ...

  • 12.19.17

    Leveraging Medicaid to Strengthen Coverage

    States continue to develop strategies to strengthen coverage across the individual market and Medicaid. In recent months, we have seen several proposals at both the federal and state levels that would leverage state Medicaid programs as a key component of coverage stability and affordability ...

  • 11.15.17

    Medicaid Changes and Implications for People Living With HIV

    Traditionally, Medicaid eligibility was limited to low-income children, parents, pregnant women, the elderly and the disabled. The Affordable Care Act (ACA) gave states the option to cover nondisabled, low-income adults, and 31 states, plus D.C., have now expanded Medicaid coverage.

  • 11.14.17

    Discover the Megatrends Remapping the Pharmaceutical Market

    From the shift to new payment models to the explosion of mHealth to the creation of personalized therapies, powerful trends and disruptive innovations are converging to reshape the healthcare market. Patients, payers and providers are all facing transformational forces that are reinventing ...

  • 10.25.17

    How Can You Attract Patients Beyond Your Local Market?

    International patients seeking advanced medical treatment spent more than $3.5 billion in the United States in 2015, increasing more than 25% since 2010. 1 Each year, 300,000 international patients visit this country for quality medical care. 2 Domestic medical travel is also on the rise. ...

  • 09.25.17

    What Are the Implications of the New Graham-Cassidy Proposal for Coverage, Costs and State Budgets?

    On Sept. 13, 2017, Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA)—along with Senators Dean Heller (R-NV) and Ron Johnson (R-WI) and former Senator Rick Santorum (R-PA)—released a new proposal to “repeal and replace” the Affordable Care Act. The new proposal is an ...

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    09.11.17

    As Enforcement Tightens, How Can You Avoid FCA Actions?

    In fiscal year (FY) 2016, the Department of Justice (DOJ) recovered $2.5 billion from healthcare fraud cases, marking the seventh consecutive year that healthcare civil fraud recoveries exceeded $2 billion. Between January 2009 and the end of FY 2016, the DOJ recovered $19.3 billion in healthcare ...

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    07.19.17

    Building Successful PAC Preferred Provider Networks

    From new reimbursement models to an aging population to an increased focus on holistic treatment, key trends are converging to drive the surging growth in post-acute care (PAC) preferred provider networks. Hospitals and health systems are seeking to integrate with PAC by creating networks of ...

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