Deborah Bachrach

Deborah Bachrach

Manatt, Phelps & Phillips, LLP

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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 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

Manatt on Medicaid: CMS Approves Indiana Waiver to Expand Medicaid

On January 27, 2015, the Centers for Medicare and Medicaid Services (CMS) approved Indiana’s waiver request under Section 1115 of the Social Security Act to implement its Medicaid expansion. Referred to as the Healthy Indiana...more

1/30/2015 - CMS Cost-Sharing Health Insurance Medicaid Medicaid Expansion Waivers

Manatt on Medicaid: Arkansas Update – Private Option To Continue, Additional Medicaid Reforms To Be Explored

In a highly anticipated speech on January 22, 2015, the newly inaugurated Governor of Arkansas, Asa Hutchinson, laid out his vision for charting the future of Medicaid in Arkansas. Governor Hutchinson outlined a plan that...more

1/27/2015 - Healthcare Reform Medicaid State Budgets

Manatt on Medicaid: Tennessee Releases Draft Waiver Amendment for Approval to Implement ACA Medicaid Expansion

On January 8, 2015, Tennessee released a proposal to expand its Medicaid program through an amendment to its current TennCare II waiver under Section 1115 of the Social Security Act. Tennessee’s two-year proposal, called...more

1/15/2015 - Affordable Care Act Healthcare Healthcare Reform Medicaid Medicaid Expansion Proposed Amendments

Manatt on Medicaid: Early Results Point to Benefits of Expansion

By the end of 2014, 27 states and the District of Columbia had expanded Medicaid eligibility to adults with incomes up to 133% of the Federal Poverty Level (FPL). And, governors in Indiana, Montana, Tennessee, Utah and...more

1/9/2015 - Federal Poverty Line Health Care Providers Healthcare Hospitals Medicaid Medicaid Expansion

Coverage and Delivery of Adult Substance Abuse Services in Medicaid Managed Care

Medicaid’s role in purchasing and delivering substance abuse services is changing dramatically. Prior to the implementation of the Affordable Care Act (ACA), most state Medicaid programs did not cover childless adults and...more

10/2/2014 - Affordable Care Act Health Insurance Medicaid Mental Health MHPAEA Substance Abuse

Manatt on Medicaid: State Strategies for Integrating Physical and Behavioral Health Services in a Changing Medicaid Environment

Medicaid plays a central role in financing mental health and substance use disorder (SUD) services, accounting for 26 percent of all spending on behavioral health services in this country. Medicaid beneficiaries with...more

9/25/2014 - Clinical Integration Healthcare Medicaid Mental Health Substance Abuse

Manatt on Medicaid: Arkansas—A Leading Laboratory for Healthcare Payment and Delivery Reform

Increasingly, states are moving beyond their traditional Medicaid programs to embrace new roles as leaders of statewide payment and delivery system transformation. The search for statewide solutions is fueled by cost...more

9/10/2014 - Healthcare Healthcare Reform Medicaid

Manatt on Medicaid: Pennsylvania Receives Federal Approval to Implement Medicaid Expansion

On August 28, 2014, the Centers for Medicare and Medicaid Services (CMS) approved Pennsylvania’s application under Section 1115 of the Social Security Act to implement a Medicaid expansion effective January 1, 2015, through a...more

9/4/2014 - Affordable Care Act CMS Healthcare Reform Medicaid Medicaid Expansion

Health Update - Jun 2014

Removing Regulatory Barriers to Accelerate EHR Adoption - Recognizing the potential long-term value of EHRs for improving care and reducing costs, many hospitals considered offering physicians financial support to...more

6/24/2014 - CMS Data Protection EHR Healthcare Healthcare Reform Medicare Medicare Part D PHI Stark Law

Manatt on Medicaid: Addressing Patients’ Social Needs: An Emerging Business Case for Provider Investment

Social and economic factors such as income, educational attainment, access to food and housing, and employment status have a profound impact on health. In fact, these nonmedical factors account for as much as 40 percent of...more

6/5/2014 - Affordable Care Act DSRIP Healthcare Medicaid Patient Centered Medical Homes

Manatt on Medicaid: Indiana Releases Draft Waiver for Approval to Implement ACA Medicaid Expansion

On May 15, 2014, Indiana released a draft waiver under Section 1115 of the Social Security Act, requesting approval to implement a Medicaid expansion through the Healthy Indiana Plan (HIP) 2.0, building on its existing...more

5/20/2014 - Healthcare HSA Medicaid Medicaid Expansion Waivers

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