White Papers

12.05.19

Implementing a Statewide Healthcare Cost Benchmark

State interest in healthcare cost containment has grown dramatically since Massachusetts enacted the nation’s first cost benchmarking program in 2012. At that time, most states were focused on coverage expansion through the Affordable Care Act. More recently, however, coverage gains have ...




11.12.19

Using Medicaid to Advance Evidence-Based Treatment of Substance Use Disorders

In 2019, the number of drug overdose deaths in the United States declined, suggesting that the efforts of state and local governments, providers and other stakeholders to stem the crisis of drug-related deaths are beginning to have some effect. But there is much more work to do: Over 70,000 ...




11.12.19

Expanding Payer and Provider Participation in Data Exchange

States have struggled for decades to establish infrastructure that allows for the efficient and secure sharing of health information, despite it being associated with improved quality and reduced duplicative services and associated costs. California has made some progress, including the growth of ...




11.12.19

TCPA Quick Reference Guide

The average cost of a Telephone Consumer Protection Act (TCPA) settlement is estimated at $6.6 million—and healthcare is among the top three industries being targeted for TCPA litigation. Though its sponsors in 1991 intended it for small claims court, the TCPA has turned into high-cost ...




11.11.19

Evaluation of Medicaid Demonstrations under New CMS Guidance

The Centers for Medicare & Medicaid Services (CMS) has formalized and strengthened requirements for evaluation of state Section 1115 Medicaid demonstrations, including new demonstration programs being permitted by the current administration that are both unprecedented and controversial. The ...




10.25.19

Public Charge Final Rule: Frequently Asked Questions

On August 12, 2019, the U.S. Department of Homeland Security (DHS) issued the final version of its public charge rule, which was slated to go into effect on October 15 but is currently subject to a nationwide preliminary injunction. The rule changed how DHS determines whether ...




10.15.19

Comprehensive 50-State Survey: State Medicaid Programs and 340B

  Lead Author: Helen R. Pfister, Partner, Manatt Health To help you manage effectively through the intricacies of 340B, Manatt Health has developed a 50-state survey on 340B, analyzing how states reimburse 340B covered entities and contract pharmacies for 340B drugs, and the ...




10.07.19

Measuring Quality Contraceptive Care in a Value-Based Payment System

In 2016, the National Quality Forum endorsed three contraceptive care quality measures to assess the degree to which women access effective methods of contraception.




10.01.19

Keeping Medicaid’s Promise: Strengthening Access to Services for Children With Special Healthcare Ne

Medicaid covers about half of all children with special healthcare needs in the U.S., playing a central role in addressing the complex physical and behavioral challenges of this particularly vulnerable population.




09.11.19

A Framework for Evaluating the ROI of Telehealth

Healthcare providers are increasingly investing in and deploying telehealth capabilities that will extend services to patients in rural areas, deliver quality care to individuals with complex conditions and reduce costs associated with unnecessary emergency department usage, among other benefits.