White Papers

03.02.17

Capped Federal Medicaid Funding: Implications for Texas

Since its inception, Medicaid has been financed jointly by the federal and state governments. There are no caps on the federal government’s core financial obligations; federal funding is guaranteed as a share (known as a match) of all state expenditures that follow federal rules. Republican ...




02.23.17

Medicaid at a Crossroads: What’s at Stake?

Since its inception 50 years ago, Medicaid has evolved from a small welfare program into an integral part of the nation’s health insurance system, now covering more than one in five low-income children and adults. As Medicaid coverage has expanded and stabilized, states are making strides to ...




02.17.17

Building the Coverage Continuum: The Role of State Medicaid Directors and Insurance Commissioners

The Affordable Care Act has expanded coverage to 20 million newly insured individuals, split between state Medicaid programs and commercially insured marketplaces, with limited integration between the two. The seamless continuum of coverage envisioned by the law is central to achieving the full ...




02.02.17

Leveraging CHIP to Protect Low-Income Children From Lead

Despite dramatic improvements over the past few decades, lead poisoning continues to be a serious hazard for many children in the U.S., presenting significant risks to their health and learning. At least four million households with children are exposed to high levels of lead, and approximately ...




01.13.17

Review of the Organization of Entry Points for Publicly Funded Health and Social Services in Marylan

Maryland residents can apply for health coverage and social services programs through a broad number of “entry points,” including online websites operated by the Maryland Health Benefit Exchange (MHBE) and Department of Human Resources (DHR); by contacting a call center; or by ...




12.21.16

Capping Federal Medicaid Funding: Key Financing Issues for States

President-elect Donald Trump and Republican congressional leadership have called for a repeal of the Affordable Care Act (ACA) and a fundamental overhaul of the Medicaid program that would include imposing caps on federal funding to states. If adopted, capped funding would replace the central ...




12.16.16

Comparison of Key Repeal and Replace Proposals

As the incoming Congress and administration develop plans to “repeal and replace” the Affordable Care Act (ACA), analysis of five earlier repeal and replace proposals provides insights into the key features likely to appear in any forthcoming repeal and replace legislation. Manatt ...




12.15.16

Repeal of the ACA Medicaid Expansion: Critical Questions for States

Much of the post-election debate over the potential repeal of the Affordable Care Act (ACA) has focused on the fate of the Marketplaces, the mandate, and popular insurance reforms such as the ban on preexisting conditions. Increasingly, however, it is clear that repeal could include elimination of ...




12.05.16

Integrating Medicaid Supplemental Payments into Value-Based Purchasing

In recent years, Medicaid supplemental payments (DSH and UPL payments) have grown in importance as a way for states to compensate providers and support safety-net hospitals. However, because these payments are typically not tied to services or quality, they detract from state efforts to move to ...




10.31.16

Shaping the Future: Trends in Digital Media and Frontier Technologies M&A

With an increase in demand for digital content, as well as an influx of new advancements to meet these needs, media and technology companies are using M&A as a strategic tool to rapidly grow. Most acquirers are using M&A to enter new market segments, as they realize three options lie ...