Adam Striar at Manatt, Phelps & Phillips, LLP

Do Health Care Providers That Serve Historically Marginalized Populations Get Paid Less? An Analytic Investigation

Executive Summary - Health inequities are pervasive across the country, with the health and well-being of Americans too often diverging along racial and ethnic lines. While recent studies have identified many factors...more

7/3/2024 / Disparate Impact , Health Care Providers , Health Insurance , Healthcare , Healthcare Workers , Medical Reimbursement

North Carolina Expands Medicaid

On December 1, 2023, North Carolina will become the 40th state to implement Medicaid expansion under the Affordable Care Act (ACA), extending Medicaid eligibility to more than 600,000 adults with incomes up to 138% of the...more

10/3/2023 / Affordable Care Act , Health Insurance , Healthcare , Healthcare Reform , Insurance Reform , Medicaid , Medicaid Expansion , New Regulations , North Carolina

Enhancing Access to Medicaid Family Planning Program Services: State-Level Best Practices

Editor’s Note: In a new issue brief prepared with the support of Arnold Ventures, Manatt Health shares an array of best practice strategies in place across the nation to serve as an actionable road map for states that might...more

6/15/2023 / Best Practices , Family Planning Clinics , Health Care Providers , Health Insurance , Health Insurance Portability and Accountability Act (HIPAA) , Healthcare , Medicaid , Reproductive Healthcare Issues , State Medicaid Programs

Implementing State-Level Policy and Operational Processes That Enhance Access to Medicaid Family Planning Program Services

Given its role as a critical source of health care coverage for low-income individuals in the United States, including 13 million women of reproductive age, Medicaid is the primary source of family planning coverage in the...more

6/9/2023 / Consent , Family Planning Clinics , Health Care Providers , Health Insurance , Health Insurance Portability and Accountability Act (HIPAA) , Healthcare , Medicaid , Patient Privacy Rights , State Medicaid Programs

Recent Updates to Section 1115 Waiver Budget Neutrality Policy: Overview and Implications for States

Editor’s Note: Section 1115 Medicaid demonstrations enable states to develop innovative programs for improving the health and well-being of Medicaid enrollees. Long-standing federal policy requires that 1115 waivers be...more

12/9/2022 / 1115 Waivers , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Medicaid

Recent Developments in Section 1115 Waiver Budget Neutrality Policy

Section 1115 of the Social Security Act permits the secretary of the Department of Health and Human Services to waive certain Medicaid program rules and provide federal funding for states to test innovative coverage and...more

8/9/2022 / 1115 Waivers , Centers for Medicare & Medicaid Services (CMS) , Medicaid , Social Security Act

[Webinar] Assessing the Fiscal Impact of Medicaid Expansion in Mississippi - February 2nd, 1:30 pm - 2:30 pm ET

Since 2014, states have had the option to expand Medicaid eligibility to include adults with incomes under 138 percent of the federal poverty level. Under this option, the federal government covers 90 percent of the cost of...more

1/21/2022 / American Rescue Plan Act of 2021 , Eligibility , Federal Funding , Health Insurance , Medicaid , Medicaid Expansion , Proposed Legislation , State Medicaid Programs , Webinars

Racism and Racial Inequities in Health

Editor’s Note: In a new primer developed for the Blue Cross Blue Shield of Massachusetts Foundation, Manatt Health creates a foundational resource to broaden the collective understanding of racial and ethnic health inequities...more

1/12/2022 / Coronavirus/COVID-19 , Disparate Impact , Disparate Treatment , Equal Access , Health Care Providers , Health Insurance , Healthcare , Healthcare Facilities , Healthcare Reform , Infectious Diseases , Patient Access , Policies and Procedures , Public Health Emergency , Race Discrimination , Racial Bias

Racism and Racial Inequities in Health: A Data-Informed Primer on Health Disparities in Massachusetts

The COVID-19 pandemic laid bare long-standing racial and ethnic health inequities and disparities across America, including in Massachusetts. Black and Hispanic people in Massachusetts have been disproportionately impacted by...more

12/21/2021 / Disparate Impact , Disparate Treatment , Healthcare , Race Discrimination , Racial Bias , Underserved Locations

Assessing the Fiscal Impact of Medicaid Expansion in Mississippi

I. Introduction - Since 2014, states have had the option to expand Medicaid eligibility to most adults with incomes under 138 percent of the federal poverty level (FPL; approximately $30,300 in annual earnings for a family...more

11/30/2021 / American Rescue Plan Act of 2021 , Health Insurance , Healthcare , Healthcare Reform , Low-Income Issues , Medicaid , Medicaid Expansion

The End of the COVID-19 PHE and Medicaid Continuous Coverage: Health Equity Implications

Medicaid enrollment has increased by over 10 million (or 15 percent) from February 2020 through February 2021 across all states since the outbreak of the COVID-19 pandemic. A significant contributor to these gains in coverage...more

10/6/2021 / Continuous Coverage , Coronavirus/COVID-19 , Disparate Impact , Emergency Management Plans , Families First Coronavirus Response Act (FFCRA) , Federal Funding , Health Insurance , Infectious Diseases , Medicaid , Public Health Emergency , Relief Measures

Medicaid Enrollment Trends During the COVID-19 Pandemic

Medicaid has seen significant increases in enrollment across all states since the outbreak of the COVID-19 pandemic. According to the latest data from the Centers for Medicare and Medicaid Services (CMS), total Medicaid...more

8/4/2021 / Affordable Care Act , Coronavirus/COVID-19 , Eligibility , Enrollment , Health Insurance , Infectious Diseases , Medicaid , Public Health Emergency

Assessing the Fiscal Impact of Medicaid Expansion Following the American Rescue Plan Act of 2021

Editor’s Note: In a recent issue brief for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, summarized below, Manatt Health describes the provision in the American Rescue Plan Act of 2021 (ARP)...more

5/13/2021 / Affordable Care Act , Biden Administration , Children's Health Insurance Program (CHIP) , Healthcare Reform , Medicaid , Medicaid Expansion

Tracking Medicaid Enrollment Growth During COVID-19 Databook

As much of the nation’s economic activity ground to a halt at the beginning of the COVID-19 pandemic, millions of people lost jobs and many also lost their job-based healthcare coverage. Based on the experience in other...more

11/4/2020 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Enrollment , Families First Coronavirus Response Act (FFCRA) , Health Care Providers , Medicaid , Public Health Emergency

The Fiscal Impact of the Trump Administration’s Medicaid Block Grant Initiative - Prepared for the Commonwealth Fund

The Trump administration recently invited states to apply for the new Healthy Adult Opportunity Medicaid demonstration initiative, which lets states opt in to a block grant funding model for a portion of their Medicaid...more

3/9/2020 / Block Grants , Federal Funding , Health Insurance , Healthcare Costs , Healthcare Reform , Medicaid , Trump Administration

The Risks of Capped Medicaid Funding

Currently, the federal government and states share in all costs associated with running the Medicaid program. Capping federal funding would require states to make tough decisions about whether to increase their own spending...more

2/26/2019 / Funding , Long Term Care Facilities , Medicaid

Ready for Reform: Behavioral Healthcare in Massachusetts

Massachusetts has long been a national leader in state-level healthcare reform. In 2006, the state enacted a landmark coverage expansion that became the model for the Affordable Care Act. It has also been a leader in...more

1/31/2019 / Health Care Providers , Healthcare Reform , Mental Health

Next-Generation Funds Flow Model: Enhancing Academic Health System Alignment

The promise of academic medicine is to create new knowledge, train the next generation of practitioners and advance standards of patient care. The funding is the oil that lubricates this powerful innovation engine. In...more

11/26/2018 / Funding , Health Care Providers , Investment

Addressing Major Drivers of MassHealth Per-Enrollee Spending Growth

The Massachusetts Medicaid program, MassHealth, plays a critical role as a source of health insurance coverage in Massachusetts. It covers a broad range of residents of the commonwealth, including vulnerable populations such...more

11/14/2018 / Affordable Care Act , Health Care Providers , Health Insurance , Medicaid

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). Yet only 1 in 5 people suffering from an OUD receive treatment. The...more

3/30/2018 / Drug & Alcohol Abuse , Medicaid , Medicaid Expansion , Opioid

Manatt on Health: Medicaid Edition - March 2018

Medicaid’s Critical Role in Addressing the Opioid Crisis - As the opioid crisis in the United States continues to deepen—with opioid overdoses claiming 42,000 lives in 2016—policymakers, providers, advocates and other...more

3/29/2018 / 1115 Waivers , Medicaid , Opioid

Manatt on Health: Medicaid Edition - CMS Approves West Virginia’s Substance Use Disorder Waiver

On October 6, the Centers for Medicare & Medicaid Services (CMS) approved West Virginia’s “Creating a Continuum of Care for Medicaid Enrollees with Substance Use Disorders” Section 1115 demonstration. West Virginia’s waiver,...more

10/26/2017 / 1115 Waivers , Centers for Medicare & Medicaid Services (CMS) , Opioid , Trump Administration

Establishing a Medicaid Per Capita Cap: Implications for California - Presentation

Both the House-passed American Health Care Act (AHCA) and the Senate’s draft Better Care Reconciliation Act (BCRA) of 2017 propose major changes to Medicaid’s financing structure. These include caps on federal funding for...more

7/17/2017 / Health Insurance , Healthcare Reform , Medi-Cal , Medicaid

Medicaid Edition: Establishing a Medicaid Per Capita Cap: Implications for California