• 01.31.20

    Strategies to Expand Transparency, Enhance Competition and Control Costs: A Toolkit for Insurance Re

    State insurance regulators play many roles in making health insurance more available and affordable to consumers. Two that stand out are enhancing transparency and promoting competition. Every state department of insurance (DOI) has a consumer complaint hotline and provides information to help ...

  • 01.30.20

    Medicare Part D Redesign With Out-of-Pocket Caps

    During the Medicare Payment Advisory Commission’s (MedPAC’s) January 16 public session, MedPAC staff continued their drumbeat for reforming the Part D benefit following recommendations previously made in their June 2016 Report to Congress. Continuing themes include eliminating the ...

  • 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 ...

  • 11.11.19

    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 ...

  • 10.01.19

    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.

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