Elizabeth Osius

Elizabeth Osius

Manatt, Phelps & Phillips, LLP

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Manatt on Health Reform: Weekly Highlights - July 2015 #4

CMS offers a special enrollment period for HealthCare.gov enrollees whose incomes were miscalculated due to system error; California Marketplace announces two new insurers; and Connecticut’s budget reduces eligibility levels...more

7/29/2015 - CCIIO CMS DSRIP Enrollment Fast Track Process Health Insurance Healthcare Reform Healthcare.gov IRS Medicaid Medicare Public Health Insurance Marketplace State Budgets Tax Credits Waivers

Manatt on Health Reform: Weekly Highlights - July 2015 #2

Montana’s Medicaid expansion waiver seeks monthly premiums and a “third party administrator”; Rhode Island’s Medicaid working group recommends pursuing a DSRIP waiver; and Utah’s Medicaid expansion discussions are put on hold...more

7/15/2015 - CMS DSRIP Health Insurance Health Insurance Exchanges Healthcare Healthcare Providers Healthcare Reform Medicaid Expansion SHOP Program State Health Insurance Exchanges

Manatt on Health Reform: Weekly Highlights - July 2015

Ohio passes a budget mandating that the State request a waiver to implement Medicaid Health Savings Accounts; in Nevada, Marketplace enrollees who experienced technical difficulty obtaining coverage are eligible for a...more

7/8/2015 - Affordable Care Act CMS Contraceptive Coverage Mandate Health Plan Sponsors Health Savings Accounts Healthcare Reform Medicaid Qualified Health Plans Reinsurance Religious Institutions State Budgets

Manatt on Health Reform: Weekly Highlights - June 2015 #5

Topping the news, last week's King v. Burwell ruling preserved subsidies for the 6.7 million people receiving them through the federal marketplace. In other news, President Obama pledged renewed efforts to work with...more

7/1/2015 - Affordable Care Act Chevron Deference Health Insurance Health Insurance Exchanges HHS King v Burwell Medicaid Medicaid Expansion Public Health Insurance Marketplace SCOTUS Standard of Review State Health Insurance Exchanges

Manatt on Health Reform: Weekly Highlights - June 2015 #4

This week...no clear consensus has emerged among congressional Republicans on how to manage potential King v. Burwell fallout; California will expand Medicaid to undocumented children; and New York is poised to become the...more

6/24/2015 - Affordable Care Act CMS Cost-Sharing DHS Health Insurance Insurance Industry Medi-Cal Medicaid Pregnancy Public Health Insurance Marketplace Reinsurance Undocumented Immigrants

Manatt on Health Reform: Weekly Highlights - June 2015 #3

With the King v. Burwell ruling expected by the end of the month, Congressional Republicans continue to offer contingency plans in the event of a ruling for the plaintiffs; and the Mississippi Insurance Commissioner proposes...more

6/17/2015 - Affordable Care Act CHIP CMS Health Insurance Health Insurance Exchanges Healthcare.gov Insurance Commissioners King v Burwell Medicaid Mitigation National Contingency Plan Obama Administration Penalties Pending Legislation Public Health Insurance Marketplace SCOTUS State Health Insurance Exchanges Subsidies

Manatt on Health Reform: Weekly Highlights - June 2015 #2

With an eye toward the imminent King v. Burwell ruling, Delaware submits a Supported State-based Marketplace blueprint to CMS and South Carolina’s governor says the State will not establish a State-based Marketplace. In...more

6/10/2015 - CMS Health Insurance Exchanges King v Burwell Medicaid Public Health Insurance Marketplace

Manatt on Health Reform: Weekly Highlights - June 2015

States continue to prepare for a potential decision adverse to the government in King v. Burwell, with Pennsylvania submitting an application to be a supported State-based Marketplace; CMS releases information reflecting wide...more

6/3/2015 - Affordable Care Act CMS Healthcare Healthcare Reform King v Burwell Medicaid Public Health Insurance Marketplace

Manatt on Health Reform: Weekly Highlights - May 2015 #4

CMS proposes a new rule to modernize Medicaid and CHIP managed care; the Florida saga continues with CMS proposing to extend—and reduce—LIP funding; and California's Marketplace approves a co-pay cap on specialty drugs....more

5/28/2015 - CHIP CMS Health Insurance Managed Care Contracts Medicaid Medicaid Reform

Manatt on Health Reform: Weekly Highlights - May 2015 #3

Washington and Iowa report surges in insurer participation in Marketplaces for 2016; Maine considers legislation to maintain premium subsidies regardless of King v. Burwell. KING V. BURWELL ACTIVITY: Maine:...more

5/20/2015 - Affordable Care Act Health Insurance Health Insurance Exchanges Healthcare Healthcare Reform Insurance Industry Insurers King v Burwell Medicaid Premium Subsidy Bill Public Health Insurance Marketplace

Manatt on Health Reform: Weekly Highlights - May 2015 #2

Latest numbers show dramatic post-ACA coverage gains; in California, an increase in dental-related ER visits follows cuts to Medicaid dental benefits; and the Massachusetts governor requests to maintain its definition of...more

5/14/2015 - Affordable Care Act Dental Benefits Employer Group Health Plans Health Insurance Healthcare Healthcare Reform Medicaid Medicaid Expansion

Manatt on Health Reform: Weekly Highlights - May 2015

This week Montana became the 30th state to expand Medicaid, and the battle over Medicaid expansion and uncompensated care reached a breaking point in Florida. Meanwhile, as the King v Burwell decision looms, Congress and...more

5/6/2015 - Affordable Care Act Catholic Church Contraceptive Coverage Mandate Health Insurance Health Insurance Exchanges Healthcare Reform Hospitals King v Burwell Medicaid Medicaid Expansion Medicaid Reform Public Health Insurance Marketplace SCOTUS

Manatt on Health Reform: Weekly Highlights - April 2015 #4

CMS releases new redetermination regulations and links uncompensated care funds to expanding Medicaid, and New York becomes the second state to launch the Basic Health Program. ...more

4/29/2015 - CMS Health Insurance Health Insurance Exchanges Healthcare Healthcare Reform Healthcare.gov 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

Manatt on Health Reform: Weekly Highlights - April 2015 #3

This week, CMS proposes continued 90% funding for Medicaid eligibility and enrollment system development. Montana is on the verge of becoming the 29th state (plus D.C.) to expand Medicaid eligibility, and Florida Governor...more

4/22/2015 - Affordable Care Act CMS Federal Grants Governor Scott Health Insurance Healthcare Reform King v Burwell Legislative Agendas Medicaid Medicaid Expansion Medicare Access and CHIP Reauthorization (MACRA) Physician SGR Formula Public Health Insurance Marketplace

Manatt on Health Reform: Weekly Highlights - April 2015 #2

The uninsurance rate for U.S. adults dips to 11.9%, national health expenditures come in below estimates and Medicaid expansion appears imminent in Montana....more

4/15/2015

Manatt on Health Reform: Weekly Highlights - April 2015

Early data emerges on the impact of Medicaid expansion on states’ budgets and enrollees’ healthy behaviors. Read on for the latest in state and federal health reform updates and Manatt’s staffing announcement. ...more

4/8/2015 - CHIP Healthcare Healthcare Reform HHS Medicaid Medicaid Expansion

Manatt on Health Reform: Weekly Highlights - March 2015 #5

This week, Medicaid expansion gains traction in Montana, California submits its waiver application to renew DSRIP and to propose several new delivery system transformation and alignment initiatives, and the Supreme Court...more

4/1/2015 - DSRIP Health Care Providers Healthcare Medicaid Medical Reimbursement Physician Medicare Reimbursements Standing

Manatt on Health Reform: Weekly Highlights - March 2015 #4

This week, Alaska’s Governor introduced Medicaid expansion bills in both the House and Senate after failing to get approval in his budget. Colorado determined that non-ACA-compliant plans cannot be sold in 2016, a year ahead...more

3/25/2015 - Affordable Care Act CMS Employer Group Health Plans Health Insurance Exchanges Healthcare Healthcare Reform Medicaid Medicaid Expansion Subsidies

Manatt on Health Reform: Weekly Highlights - March 2015 #3

FEDERAL NEWS: More than 8 in 10 Federal Marketplace Enrollees Receive Tax Credits - According to data released by CMS, 7.7 million consumers, or 87 percent of those on the Federally-facilitated Marketplace with...more

3/19/2015 - Affordable Care Act Health Insurance Health Insurance Exchanges Medicaid Medicaid Expansion Tax Credits

Manatt on Health Reform: Weekly Highlights - March 2015 #2

King v. Burwell speculation has been rampant since the Supreme Court heard oral testimony on Wednesday. All eyes are on Justices Kennedy and Roberts, who are likely to wield the deciding votes. In other news, CMS approved a...more

3/11/2015 - Affordable Care Act CMS Enrollment Health Insurance Exchanges King v Burwell Medicaid Medicaid Expansion Pregnancy SCOTUS State Budgets Subsidies Tax Incentives

Manatt on Health Reform: Weekly Highlights - March 2015

Media is abuzz with speculation on the potential impact of King v. Burwell—arguments begin tomorrow, March 4th, at 10 a.m. Many consider the case the greatest threat to the Affordable Care Act since SCOTUS upheld the...more

3/5/2015

Manatt on Health Reform: Weekly Highlights - February 2015 #4

Wrapping up the 2015 enrollment period, Healthcare.gov and State-based Marketplaces in seven states have announced special enrollment periods (SEPs) for people who were uninsured in 2014 and discover they owe a “shared...more

2/25/2015 - Affordable Care Act CMS Enrollment Statistics Health Insurance Health Insurance Exchanges HHS Insurers Medicaid Shared Responsibility Rule State Budgets Tax Penalties

Manatt on Health Reform: Weekly Highlights - February 2015 #3

Although the official February 15th enrollment deadline has now passed, the 2015 open enrollment period isn’t over for the Federally-facilitated Marketplace (FFM) and many State-based Marketplaces (SBMs).While the FFM...more

2/19/2015 - Affordable Care Act Health Insurance Health Insurance Exchanges Healthcare Reform Medicaid Medicaid Expansion Public Health Insurance Marketplace

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