• 09.29.16

    Defining the Provider Data Dilemma

    Healthcare provider data forms the foundation of many important processes in the nation’s healthcare system. This information is necessary to conduct a number of essential functions, such as referring a patient to a specialist, paying insurance claims, determining provider sanctions and ...

  • 08.18.16

    Section 1332 Waivers: Will We See More State Innovation?

    Stakeholders across the country are focused on effectively implementing the Affordable Care Act (ACA) and making incremental—not radical—changes to it. But how can change happen given the deep national divisions around what corrections are needed? One answer lies in Section 1332 of the ...

  • 07.29.16

    Medicaid Coverage of Social Interventions: A Road Map for States

    Faced with mounting evidence about the impact of social factors—such as income, access to food and housing, and employment status—on health outcomes, Medicaid agencies are looking for ways to integrate social interventions into their coverage, payment, and delivery models. In support ...

  • 07.07.16

    Medicaid: States’ Powerful Tool to Combat the Opioid Crisis

    The United States is in the throes of a rapidly worsening opioid epidemic. The crisis is far-reaching. As of 2014, 1.9 million Americans had an opioid use disorder involving prescription medication, and an additional 19.6 million Americans had a substance use disorder (SUD) outside of addiction to ...

  • 06.21.16

    Moving Medi-Cal Forward: The Path to Delivery System Transformation

    Over the past few years, California’s Medicaid program, known as Medi-Cal, has been catapulted into a new role. It has evolved from a program designed to provide health coverage to a subset of low-income individuals and help counties meet their longstanding obligations to provide indigent ...

  • 05.16.16

    Supporting Informed Decision-Making in the Health Insurance Marketplace

    In a report prepared for the National Partnership for Women and Families, Manatt Health reveals that, during the third open enrollment period, the health insurance marketplace created by the Affordable Care Act added tools to help consumers make informed decisions about which health plans to ...

  • 05.12.16

    Massachusetts Long-Term Services and Supports

    Long-term services and supports (LTSS) enable hundreds of thousands of people of all ages in Massachusetts to live with independence and dignity, participate in their communities and increase their overall quality of life. MassHealth, the Commonwealth’s Medicaid program, is the largest payer ...

  • 05.09.16

    Planting Seeds in Fertile Ground

    Mental health disorders can begin to manifest in the first years of life, and when left untreated, can take root and worsen over time, with potentially serious consequences for early learning, social competence and lifelong health.

  • 04.25.16

    Emerging Issues in Medicaid Payment and Delivery Reform: Observations From New York’s DSRIP Implemen

    With the implementation of the Affordable Care Act, Medicaid has become the largest insurer in the United States, covering almost 25 percent of all Americans. States are increasingly leveraging Medicaid's purchasing power to drive payment and delivery system reform efforts, such as with ...

  • 04.21.16

    Estimated State Budget Impact of an Oklahoma SoonerCare Expansion

    In 2012, the United States Supreme Court ruled that the Medicaid expansion authorized by the Affordable Care Act was optional. That is, each state could decide whether or not to use its Medicaid program to cover all adults with incomes below 138% of the Federal Poverty Level. States that opt to ...