Deborah Bachrach

Deborah Bachrach

Manatt, Phelps & Phillips, LLP

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Manatt on Medicaid: Observations from New York's DSRIP Implementation

Editor's note: Medicaid is the largest healthcare payer in virtually every state. States are increasingly leveraging that position to drive payment and delivery system reform efforts. One powerful tool to enable...more

5/17/2016 - Affordable Care Act CMS DSRIP Medicaid

Manatt on Medicaid: Ohio Releases Draft Waiver Request to Implement Major Medicaid Coverage Reforms

Overview - On April 15, 2016, Ohio released a draft Section 1115 waiver application to implement the Healthy Ohio Program. The Healthy Ohio Program, a five-year demonstration beginning in 2018, would modify features of...more

5/9/2016 - Affordable Care Act Cost-Sharing Medicaid Expansion Retroactive Waiver State Budgets

Manatt on Medicaid: New Hampshire's Building Capacity for Transformation Initiative: Putting a New Stamp on DSRIP Waivers

On January 5, 2016, New Hampshire secured a five-year, $150 million Medicaid 1115 waiver to transform the state's delivery system for Medicaid beneficiaries with mental health and substance use disorders. Known as the...more

3/21/2016 - CMS DSRIP Medicaid Mental Health

Manatt on Medicaid: 10 Trends to Watch in 2016

Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace. With the number of Americans obtaining...more

2/24/2016 - Affordable Care Act Health Insurance Managed Care Contracts Medicaid Medicaid Expansion Medicaid Reform Prescription Drugs Public Health Insurance Marketplace

Manatt on Medicaid: 10 Trends to Watch in 2016

Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace. With the number of Americans obtaining...more

1/21/2016 - CMS Managed Care Contracts Medicaid Medicaid Expansion Prescription Drug Coverage

Manatt on Medicaid: CMS Approves Michigan’s Waiver Amendment to Implement Reforms to ACA Medicaid Expansion

On December 17, 2015, the Centers for Medicare and Medicaid Services (CMS) approved Michigan’s request to amend its Healthy Michigan Section 1115 demonstration, through which the State provides coverage for more than 594,000...more

12/28/2015 - Affordable Care Act CMS Cost-Sharing Health Insurance Medicaid Expansion Waivers

Impact of Medicaid Expansion on the Kansas State Budget

Key Findings - The cost of Medicaid expansion in Kansas is projected to average just over $50 million annually between 2016 and 2020. Based on publicly available data and the experiences of states that expanded in 2014,...more

12/22/2015 - Affordable Care Act Health Insurance Healthcare Costs Medicaid Expansion State Budgets

Manatt on Medicaid: CMS Approves Montana Waiver to Expand Medicaid

On November 2, 2015, the Centers for Medicare and Medicaid Services (CMS) approved Montana's request under Section 1115 of the Social Security Act to implement its Medicaid expansion. Referred to as the Health and Economic...more

11/9/2015 - CMS Medicaid Expansion State Medicaid Programs Third-Party Waivers

Manatt on Medicaid: Medicaid at 50—The Program’s Evolution and Future

Editor’s note: Born as an afterthought to Medicare five decades ago, Medicaid has evolved from an adjunct to state welfare programs into the nation’s largest health insurer. Medicaid’s 50th birthday is a fitting time to...more

10/27/2015 - Affordable Care Act CHIP CMS Eligibility Enrollment Health Care Providers Health Information Technologies Health Insurance Healthcare Healthcare Costs Healthcare Reform Medicaid Medicaid Expansion Medicaid Reform Public Health Insurance Marketplace State Medicaid Programs Tax Credits Value-Based Purchasing Waivers

Medicaid at 50: The Program’s Evolution and Future

Born as an afterthought to Medicare five decades ago, Medicaid has evolved from an adjunct to state welfare programs to the nation’s largest health insurer. The occasion of Medicaid’s 50th birthday is a fitting time to...more

9/30/2015 - Affordable Care Act CHIP CMS Eligibility Enrollment Health Insurance HHS Information Technology Medicaid Medicaid Expansion Medicaid Reform Public Health Insurance Marketplace State Medicaid Programs Waivers

Manatt on Medicaid: Arizona Releases Draft Waiver Request for Approval to Implement Reforms to ACA Medicaid Expansion

Overview - On August 18, 2015, Arizona released the Modernizing Arizona Medicaid proposal for a new 1115 waiver to implement coverage and delivery system reforms in its Medicaid program, the Arizona Health Care Cost...more

9/21/2015 - Affordable Care Act CMS Cost-Sharing Health Savings Accounts Medicaid Medicaid Expansion Medicaid Reform New Legislation Premiums State Medicaid Programs Waivers

Health Update - June 2015

Examining Fee Splitting Statutes in the Context of Value-Based Healthcare - Editor’s note: One of the goals of the Affordable Care Act (ACA) is to align incentives among provider communities and their patients and...more

6/23/2015 - Affordable Care Act Cardinal Health Fee-Splitting FTC Hospital Mergers Hospitals Licensing Boards Medicare Shared Savings Program Mergers Pharmaceutical Industry Pharmacies Prescription Drugs Radiopharmaceuticals SCOTUS Value-Based Fees

Coverage Options for Massachusetts: Leveraging the Affordable Care Act

Massachusetts led the nation in expanding healthcare coverage and reforming its payment and delivery models, with considerable success. The Affordable Care Act (ACA) provided Massachusetts with new tools and new funding,...more

5/27/2015 - Affordable Care Act Health Insurance Healthcare Reform

Health Update - May 2015

Building a Culture of Health: The Value Proposition of Retail Clinics - Editor’s Note: Since first emerging on the healthcare landscape more than 15 years ago, retail clinics have seen significant growth. There are now...more

5/22/2015 - Health Insurance Healthcare Healthcare Facilities HIPAA Medicaid Mobile Apps Wellness Programs

Manatt on Medicaid: Montana Governor Signs Act to Expand Medicaid

On April 29, 2015, Montana Governor Steve Bullock signed Senate Bill 405, referred to as the Montana Health and Economic Livelihood Partnership Act (HELP Act), which expands Medicaid to cover an estimated 70,000 new adults....more

5/1/2015 - Affordable Care Act CMS Healthcare Medicaid Medicaid Expansion New Legislation TPAs

Estimated State Budget Impact of a MaineCare Expansion in 2016

This brief examines the budget implications of expanding MaineCare (Maine’s Medicaid program) and finds that the state savings coupled with the new revenues are sufficient to offset state costs attributable to expansion in...more

4/29/2015 - Healthcare Medicaid Medicaid Expansion State Budgets

Marketplace Premium Assistance: Creating Alignment Between Medicaid and Qualified Health Plans

Arkansas broke new ground with its Marketplace Premium Assistance Medicaid expansion (widely referred to as the “Private Option”) last year, spurring additional states to consider the model. Under Marketplace Premium...more

4/27/2015 - Medicaid Public Health Insurance Marketplace Qualified Health Plans

Building a Culture of Health: The Value Proposition of Retail Clinics

Retail clinics offer convenient, low-cost basic primary care treatment, screening and diagnostic services in a variety of settings. Increasingly, these clinics are an integral part of a U.S. health care system in the throes...more

4/23/2015 - Healthcare Retailers

Innovation Waivers: An Opportunity for States to Pursue Their Own Brand of Health Reform

Abstract - States have long been the testing ground for new models of health care and coverage. Section 1332 of the Affordable Care Act, which takes effect in less than two years, throws open the door to innovation by...more

4/21/2015 - Affordable Care Act Health Insurance Health Insurance Exchanges Healthcare Reform HHS

States Expanding Medicaid See Significant Budget Savings and Revenue Gains

In a report prepared for the State Health Reform Assistance Network, Manatt highlights key ways in which eight states—Arkansas, Colorado, Kentucky, Michigan, New Mexico, Oregon, Washington and West Virginia—were able to...more

4/17/2015 - Affordable Care Act Healthcare Medicaid Medicaid Reform Revenue Growth State Budgets

Medicaid Expansion Leads to Economic Benefits While Improving Access to Coverage

The Affordable Care Act provides states with a powerful incentive to expand Medicaid to adults with incomes up to 133% of the Federal Poverty Level, paying for 100% of Medicaid coverage through 2016, and eventually phasing to...more

4/13/2015 - Affordable Care Act Health Insurance Healthcare Medicaid Medicaid Expansion Revenue Growth

Health Update - March 2015

Supporting Informed Decision Making in the Health Insurance Marketplace: A Progress Report - Editor’s note: As Affordable Care Act (ACA) implementation moves forward and the marketplace continues to evolve, there is a...more

3/25/2015 - ACOs Affordable Care Act Antitrust Provisions Clinical Trials Health Insurance HIPAA Informed Consent Medicaid Medicaid Expansion Next Generation ACO (NGACO)

King v. Burwell: What a Subsidy Shutdown Would Mean for Consumers, Insurers, Providers and States

Editor’s Note: On Wednesday, March 4, the Supreme Court heard oral arguments in King v. Burwell, a case that will determine whether the Affordable Care Act (ACA) permits individuals who buy individual health insurance...more

3/5/2015 - Affordable Care Act Health Insurance Exchanges King v Burwell Popular SCOTUS Subsidies

Medicaid Managed Care: What’s Ahead in 2015

Managed care is the dominant delivery model in state Medicaid programs, and is rapidly growing with the Affordable Care Act bringing over 8 million new beneficiaries into Medicaid in 2014. Today, 39 states (including the...more

3/3/2015 - Affordable Care Act CMS Healthcare Healthcare Reform Managed Care Contracts Medicaid Medicaid Expansion

Manatt on Medicaid: 10 Trends to Watch in 2015

Medicaid is the single largest payer for healthcare services in every state. With nearly 10 million people enrolling in 2014 alone, total enrollment nationally tops 68 million, or one in five Americans....more

2/3/2015

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