Anne O'Hagen Karl on Medicare

Designing a Medicaid Hospital Global Budget Under CMS’ AHEAD Model

In September 2023, the Centers for Medicare and Medicaid Services (CMS) announced the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, and this week CMS is expected to make a first set of...more

7/5/2024 / Budgets , Centers for Medicare & Medicaid Services (CMS) , Fee-for-Service , Health Care Providers , Health Insurance , Healthcare Facilities , Hospitals , Medicaid , Medicare , Revenue , Rural Health Care Providers

Understanding CMS’ AHEAD Model: Medicare Hospital Global Budget Design and Implications

The Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services (CMS) recently released initial specifications for its Medicare Hospital Global Budget methodology under the States Advancing...more

3/28/2024 / Budgets , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Health Insurance , Healthcare , Hospitals , Medicare

CHART Model Community Transformation Track: Value Proposition for Rural Healthcare Reform

The Centers for Medicare & Medicaid Services (CMS) has long acknowledged the disparities in care and outcomes affecting the one in five Americans who live in rural areas, as well as the financial challenges faced by rural...more

10/2/2020 / Centers for Medicare & Medicaid Services (CMS) , CMMI , Fee-for-Service , Health Care Providers , Healthcare Reform , Hospitals , Medicare , Medicare Advantage , Public Health Emergency , Rural Health Care Program , Rural Health Care Providers , State Medicaid Programs

Manatt on Health: Medicaid Edition - CMS Proposes Rule With Significant Medicaid Financing Implications

Over the past several years, federal Medicaid oversight and advisory bodies, including the Government Accountability Office (GAO) and the Medicaid and CHIP Payment and Access Commission (MACPAC), have issued reports calling...more

12/23/2019 / Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Department of Health and Human Services (HHS) , GAO , Medicaid , Medicaid Expansion , Medicare

Manatt on Health: Medicaid Edition - North Carolina Waiver With ‘Healthy Opportunities’ Pilots Approved

On October 24, 2018, North Carolina received approval from the federal Centers for Medicare & Medicaid Services (CMS) of its 1115 waiver for a five-year demonstration period. The waiver provides the North Carolina Department...more

11/21/2018 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Medicaid , Medicare , Waivers

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...more

12/16/2016 / Affordable Care Act , CMMI , Cost-Sharing , Healthcare Reform , Medicaid Expansion , Medicare , Presidential Elections , Tax Credits , Trump Administration

Health Update - July 2014

Avoiding the Regulatory Land Mines of Commercial ACOs - While providers are showing great interest in creating ACOs to participate in the Medicare Shared Savings Program (MSSP), they are showing even greater enthusiasm...more

7/23/2014 / ACOs , EHR , Halifax Hospital , Health Insurance , Health Insurance Portability and Accountability Act (HIPAA) , Healthcare , Medicare , Medicare Shared Savings Program , Regulatory Standards , Reporting Requirements , Social Networks , Stark Law

Anne O'Hagen Karl

Manatt, Phelps & Phillips, LLP

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