White Papers

03.19.18

State Reinsurance Programs: 1332 Waiver Considerations for States

The Affordable Care Act was designed in part to help bring stability to the individual health insurance market. But faced with a fluid federal regulatory environment, many states continue to encounter challenges, including large premium increases and declining insurer participation. One solution ...




03.16.18

Strategies for Connecting Justice-Involved Populations to Health Coverage and Care

The importance of connecting justice-involved populations to health coverage and care is evident from the high levels of physical and behavioral health issues they experience. Compared with the general population, people in prisons have four times the rate of active tuberculosis, nine to ten times ...




02.28.18

Estimated Budget Impacts of Expanding MaineCare

In November 2017, Maine voters approved a referendum to implement expansion of MaineCare under the Affordable Care Act (ACA) to adults with incomes up to 138 percent of the federal poverty level. In a new memo and presentation deck prepared for the Maine Health Access Foundation, Manatt Health ...




02.07.18

Manatt on Medicaid: 10 Trends to Watch in 2018

Medicaid has entered a period of volatile change unprecedented in its 51-year history. With 74 million members nationwide, Medicaid provides health coverage to more than one in four Americans, ensuring access to healthcare not only for children, pregnant women, the elderly and people with ...




02.02.18

Hospitals and Health Systems Prepare for a Value-Driven Future

Hospitals and health systems are actively working to serve their communities in numerous ways, including through the adoption of initiatives that control costs, improve outcomes and enhance patient-centered care. Many are working with payers to establish value-based payment (VBP) arrangements to ...




02.02.18

California Coverage Expansion Proposals: Federal Legal Considerations

Since the implementation of the Affordable Care Act (ACA) in 2014, the uninsured rate in California has dropped by nearly half, from 16 percent in 2013 to 9 percent in 2015. However, 2.9 million Californians remained uninsured. And although California policymakers and the California ACA ...




01.31.18

Sustainable Investment in Social Interventions: Reviewing Rate-Setting Tools

In a paper prepared for the Commonwealth Foundation, Manatt Health identifies practical strategies that states can deploy to support Medicaid managed care plans and their network providers in addressing social issues.




01.30.18

Medicare Part D Cost Sharing Trends for Adult Vaccines

​Vaccination utilization among U.S. adults is low, and well below the Healthy People 2020 targets, despite widespread availability of safe and effective vaccines and long-standing use recommendations by the CDC and Prevention and the Advisory Committee on Immunization Practices.




01.22.18

State Marketplace Stabilization Strategies

The Health Insurance Marketplaces established by the Affordable Care Act (ACA) have become an important source of coverage for more than 10 million Americans, many of whom receive federal subsidies to reduce the cost of coverage. However, many of the Marketplaces are exhibiting signs of ...




12.07.17

Strengthening Medicaid LTSS in an Evolving Policy Environment

Long-term services and supports (LTSS) enable more than 12 million people to meet their personal care needs and live with dignity and independence in a variety of community and institutional settings. With LTSS expenditures of more than $140 billion annually, Medicaid is the single leading payer ...