• 12.07.18

    Evaluating Medicaid Buy-in Options for New Mexico

    Against the backdrop of rising costs for health coverage, uncertainty regarding stability of the individual market and the state’s persistently high uninsurance rate of more than 9%, New Mexico is considering a Medicaid buy-in strategy.

  • 11.16.18

    Medicaid Payments at Risk for Hospitals Under Public Charge

    Under long-standing immigration law and guidance, individuals who are likely to become a “public charge” can be denied admission to the U.S. or, if they are already in the country legally, may be denied the ability to adjust their status and get a green card as a lawful permanent ...

  • 09.19.18

    Current Themes in U.S. Merger Control

    The past year has seen a wholesale turnover in leadership at the two federal antitrust enforcement agencies, the Antitrust Division of the Department of Justice (DOJ) and the Federal Trade Commission (FTC).

  • 08.17.18

    Work and Community Engagement Requirements in Medicaid

    In January 2018, the Centers for Medicare & Medicaid Services (CMS) issued guidance to states as to the circumstances under which CMS would approve Section 1115 demonstration waivers making work/community engagement (CE) requirements a condition of Medicaid eligibility.

  • 07.18.18

    Overcoming Data-Sharing Challenges in the Opioid Epidemic

    The opioid epidemic has prompted efforts across the country to increase the availability of substance use disorder (SUD) treatment.

  • 06.20.18

    How Medicaid Expansion Affects Montana’s Budget, Economy, and Residents

    In an analysis funded by the Montana Healthcare Foundation, Manatt Health found that Montana’s Medicaid expansion had positive impacts on the state’s budget and healthcare economy, as well as helped promote a healthier population.

  • 06.20.18

    Using Skilled Nursing Facility Placement to Generate PAC Savings

    The aging population is putting intense financial and operational pressure on the healthcare system, especially for post-acute care (PAC).

  • 06.20.18

    Sharing Behavioral Health Information Amid the Opioid Crisis

    As the old model of patient care silos—where behavioral health providers treat patients separately from the rest of the healthcare system—breaks down, participants from across healthcare are attempting to access patient-specific behavioral health data to create integrated care models.

  • 06.19.18

    Medicaid Managed Care Rate Setting and Payment Innovation Study

    As of February 2018, Maryland’s Medicaid managed care program, HealthChoice, provides coverage to approximately 1.2 million people.

  • 06.14.18

    NYC PHIP Small Practice Project, Final Report

    Primary care practices in New York face pressure from payers and regulators to transition to a medical home model and to participate in value-based payment (VBP) contracts.