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    Medicare Part B Drug Payment Model

    The Department of Health and Human Services (HHS) has proposed a major, national payment model that would, if implemented, significantly impact how Medicare pays for drugs provided through the Part B program. Under the authority of the Center for Medicare and Medicaid Innovation (CMMI), HHS is ...

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    Healthcare Without Borders: The Opportunities and Challenges of Medical Tourism

    Once considered a fringe option, medical tourism has gained mainstream acceptance. According to the Centers for Disease Control, up to 750,000 Americans a year travel abroad for healthcare. Projections for the next decade call for U.S. residents to spend more than $300 billion in foreign care, up ...

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    Where Is the Health Insurance Exchange Market Going?

    Now in its third year, the Health Insurance Exchange (HIE) market is beginning to mature. Certain aspects of the market are working well, while others are less successful. As consumers adapt to the Marketplace model, they are becoming more adept at evaluating their plan options and considering ...

  • 01.31.16

    Manatt on Medicaid: 10 Trends to Watch in 2016

    Medicaid continues to gain scale and importance nationally—as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace. With the number of Americans obtaining health coverage through Medicaid at an all-time high, and mounting evidence ...

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    The Megatrends Reshaping Healthcare: Managing Change and Maximizing Opportunity

    The American healthcare system continues its transformational journey into 2016 and beyond, with fresh evidence of the ongoing impact of the Affordable Care Act, as well as continued shifts in the economic and organizational models of healthcare. Providers, payers, regulators and consumers are ...

  • 11.10.15

    Fraud and Abuse 2016

    At Manatt’s webinar for Bloomberg BNA, “Fraud and Abuse 2016,” we provided an in-depth guide to the growing use of the False Claims Act (FCA) as an enforcement tool…the ways to avoid FCA actions…and the steps to take if the government does come calling. As ...

  • 10.26.15

    The Connected Patient

    Fueled by multiple federal funding programs to catalyze health reform, Medicaid programs are increasingly driving unprecedented delivery system transformation. Game-changing initiatives such as the Delivery System Reform Incentive Payment (DSRIP) program and Health Homes are changing how providers ...

  • 07.23.15

    Proceed With Caution

    The FCC has established an exemption from the Telephone Consumer Protection Act (TCPA) consent requirements for healthcare messages that are regulated by the Health Insurance Portability and Accountability Act (HIPAA). On the surface, healthcare providers and others covered by HIPAA appear to have ...

  • 07.01.15

    What’s Next for Marketplaces

    In the historic King v. Burwell decision, the Supreme Court upheld tax subsidies—preserving health security for the 6.4 million people whose coverage was in jeopardy and removing the immediate threat of individual market disruption. After the initial relief, what are the next ...

  • 06.17.15

    Medicaid Growth and Convergence

    Medicaid is the single largest payer for healthcare services in every state. With nearly 10 million people enrolling in 2014 alone, total enrollment now tops 68 million. But Medicaid is not just undergoing soaring growth. It’s also experiencing unprecedented change, fueled by its expanding ...