• 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.

  • 06.01.18

    Medicaid Work Requirements: Policy and Practical Considerations

    In January 2018, the Centers for Medicare & Medicaid Services (CMS) issued guidance setting forth the standards it will apply in granting state waivers conditioning Medicaid eligibility on compliance with work and community engagement requirements. Thereafter, it approved section 1115 waivers ...

  • 05.16.18

    Medicaid Buy-in: State Options, Design Considerations and 1332 Implications

    During the open enrollment period for the 2018 plan year, approximately 11.8 million people enrolled in marketplace coverage and 74 million people enrolled in Medicaid, bringing the United States' uninsured rate to 12.2 million.

  • 04.05.18

    Modernizing Medi-Cal Rate-Setting to Improve Health and Manage Costs

    A new report prepared for the California Health Care Foundation reviews California's Medicaid rate-setting process and offers recommendations for adjustments to that process to encourage health plan investments in health-related benefits and services that improve care and lower costs.

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    03.26.18

    Children’s Health Insurance Program Extended Through Fiscal Year 2027

    The Children's Health Insurance Program (CHIP) covers nearly 9 million children and is a key contributor to record-low levels of children being uninsured.

  • 03.19.18

    Medicaid: Linchpin in State Strategies to Address Opioid Epidemic

    The nation's opioid epidemic claimed more than 42,000 lives in 2016, and more than 2 million people in the United States have an opioid use disorder (OUD).

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    03.19.18

    State Reinsurance Programs: 1332 Waiver Considerations for States

    The Affordable Care Act was designed in part to help bring stability to the individual health insurance market. But faced with a fluid federal regulatory environment, many states continue to encounter challenges, including large premium increases and declining insurer participation. One solution ...

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    03.16.18

    Strategies for Connecting Justice-Involved Populations to Health Coverage and Care

    The importance of connecting justice-involved populations to health coverage and care is evident from the high levels of physical and behavioral health issues they experience. Compared with the general population, people in prisons have four times the rate of active tuberculosis, nine to ten times ...

  • 02.28.18

    Estimated Budget Impacts of Expanding MaineCare

    In November 2017, Maine voters approved a referendum to implement expansion of MaineCare under the Affordable Care Act (ACA) to adults with incomes up to 138 percent of the federal poverty level. In a new memo and presentation deck prepared for the Maine Health Access Foundation, Manatt Health ...

  • 02.07.18

    Manatt on Medicaid: 10 Trends to Watch in 2018

    Medicaid has entered a period of volatile change unprecedented in its 51-year history. With 74 million members nationwide, Medicaid provides health coverage to more than one in four Americans, ensuring access to healthcare not only for children, pregnant women, the elderly and people with ...