White Papers

05.21.15

Coverage Options for Massachusetts: Leveraging the Affordable Care Act

Massachusetts led the nation in expanding healthcare coverage and reforming its payment and delivery models, with considerable success. The Affordable Care Act (ACA) provided Massachusetts with new tools and new funding, while imposing new requirements. Now, almost 10 years after the passage of ...




04.21.15

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 Triple Aim goals ...




04.21.15

Passage of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): The “Doc Fix”

The President has signed into law bipartisan bill H.R. 2, the “Medicare Access and CHIP Reauthorization Act of 2015,” which permanently repeals the flawed Sustained Growth Rate (SGR) formula and replaces it with a stable Medicare payment system that rewards physicians for providing ...




04.17.15

Innovation Waivers: An Opportunity for States to Pursue Their Own Brand of Health Reform

States have long been the testing ground for new models of healthcare and coverage. Section 1332 of the Affordable Care Act, which takes effect in less than two years, throws open the door to innovation by authorizing states to rethink the law’s coverage designs. Under State Innovation ...




04.16.15

States Expanding Medicaid See Significant Budget Savings and Revenue Gains

In a report prepared for the State Health Reform Assistance Network, Manatt highlights key ways in which eight states—Arkansas, Colorado, Kentucky, Michigan, New Mexico, Oregon, Washington and West Virginia—were able to realize savings and revenue gains as a result of Medicaid ...




04.15.15

Key Themes From Delivery System Reform Incentive Payment (DSRIP) Waivers in 4 States

Introduced originally in California and followed by Texas, Massachusetts, New Jersey, Kansas and New York, “Delivery System Reform Incentive Payment” or DSRIP programs are a key feature of the dynamic and evolving Medicaid delivery system reform landscape. DSRIP initiatives are part of ...




04.15.15

Estimated State Budget Impact of a MaineCare Expansion in 2016

This brief examines the budget implications of expanding MaineCare (Maine’s Medicaid program) and finds that the state savings coupled with the new revenues are sufficient to offset state costs attributable to expansion in calendar year 2016. MaineCare expansion would cost Maine $17.2 ...




03.27.15

King v. Burwell: What a Subsidy Shutdown Would Mean for Consumers, Insurers, Providers and States

Virtually all commentators on King v. Burwell agree that a Supreme Court ruling against the government would be disruptive. Few, however, have focused on the real-world impact of the loss of health insurance subsidies for millions of people. In a four-part series, prepared with the support of ...




03.06.15

State Network – Medicaid Expansion States See Significant Budget Savings and Revenue Gains

As states continue to look for new ways to balance their budgets, early results from states that have expanded Medicaid show significant state budget savings after just the first year of expansion. Twenty-six states have expanded Medicaid—this brief focuses on the budget impact in two ...




02.27.15

Manatt on Medicaid: 10 Trends to Watch in 2015

The Manatt team of Deborah Bachrach, Patricia Boozang, Melinda Dutton, Jocelyn Guyer and Kinda Serafi recently coauthored a paper titled “Manatt on Medicaid: 10 Trends to Watch in 2015,” in which they predict the top issues that will define Medicaid in the year ahead. As ...