Newsletters

05.24.17

CMS Issues Rules to Help Stabilize Health Insurance Market

On April 13, 2017, the Department of Health and Human Services (HHS) issued the final market stabilization rule (Final Rule) under the Affordable Care Act (ACA) to help stabilize individual and small group markets.


05.24.17

Insurer Merger Saga Ends Without Guidance on Efficiency Claims

Prior to calling off its nearly two-year fight to acquire competing insurer Cigna last week, Anthem urged the Supreme Court of the United States to hear its appeal from the lower courts’ rejections of its claims of significant efficiencies from the deal.


05.24.17

Proposed 2018 Uncompensated Care Payment Methodology—Implications for Hospitals

Hospitals qualifying for the Medicare Disproportionate Share Hospital (DSH) program that receive uncompensated care payments should be aware that the Centers for Medicare and Medicaid Services (CMS) has resurrected its proposal to begin phasing in the use of uncompensated care data reported in ...


05.23.17

Manatt on Health Reform: Weekly Highlights, May 23, 2017

The President's budget proposes over $600 billion in Medicaid cuts on top of major reductions anticipated in repeal and replace legislation; the Trump Administration asks the Court for more time to decide on cost-sharing reduction payments under House v. Price, while states file a motion to try ...


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 ...


05.19.17

One Day of Rest Mandated by California Supreme Court

Resolving a contentious issue of California law, the state’s highest court ruled that one day of rest is guaranteed for each defined workweek, although an employer is not forbidden from allowing an employee, fully apprised of his or her entitlement to rest, to independently choose not to take ...


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.


05.18.17

FTC Emphasizes Disclosures in Letters to Influencers, Marketers

Influencers and marketers must clearly disclose their relationships, the Federal Trade Commission reiterated in more than 90 letters sent by the agency after it reviewed social media posts by celebrities, athletes and other influencers.


05.16.17

Manatt on Health Reform: Weekly Highlights, May 16, 2017

Governors pen bipartisan letter to Congress urging five-year extension of funding for the Children's Health Insurance Program (CHIP); new analyses find Medicaid funding cuts under the AHCA would disproportionately affect women; and a Heritage Foundation fellow is tapped to lead HHS's Center ...


05.12.17

CSBS Sues OCC Over Fintech Charters

An organization of state banking regulators hit the Office of the Comptroller of the Currency with a lawsuit, claiming the federal agency’s plan to issue fintech charters exceeds its authority.