Elizabeth Osius

Elizabeth Osius

Manatt, Phelps & Phillips, LLP

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

Arkansas's “Private Option” is projected to have a net impact of $438 million on state funds 2017-2021; Iowa selects MCOs for proposed Medicaid managed care transition; and, the DC Marketplace launches a robust dual-language...more

8/26/2015 - CMS Health Insurance Healthcare Healthcare Providers Healthcare Reform MCOs Medicaid Medicaid Expansion Medicaid Reform Public Health Insurance Marketplace

Health Update - August 2015

Five Lessons From 2015 Healthcare Deals - In 2015, we already have seen a great deal of activity in healthcare transactions that is attracting antitrust scrutiny, with mixed results. Among the winners have been Cabell...more

8/21/2015 - Affordable Care Act Antitrust Provisions Certificate of Need FTC v. Phoebe Putney Health System Health Care Providers Healthcare HIPAA Hospital Mergers Medicaid Medicaid Expansion Palmyra Security and Privacy Controls St. Luke's TCPA

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

Ohio’s Medicaid expenditures came in $2 billion below estimates despite enrollment growth after Medicaid expansion; California extends full Medicaid benefits to more pregnant women; and nearly one million have enrolled in...more

8/19/2015 - CMS Enrollment Health Insurance Healthcare Reform HHS Medicaid OIG Pregnancy SHOP Program State Medicaid Programs

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

Reductions in uninsured rates are greatest in states with Medicaid expansions and State-based or State Partnership Marketplaces; Kentucky finds increased use of preventive healthcare following Medicaid expansion; and,...more

8/12/2015 - Affordable Care Act CMS Health Insurance Healthcare Healthcare Professionals HHS Insurance Commissioners IRS King v Burwell Medicaid Medicaid Expansion Medicare OIG Open Enrollment Preventive Health Care Public Health Insurance Marketplace SCOTUS State Medicaid Programs Tax Credits

Manatt on Health Reform: Weekly Highlights - August 2015

Increased plan choice on HealthCare.gov is linked to lower premium growth; Arizona seeks changes to Medicaid expansion; and California and New York release detailed Marketplace and Medicaid enrollment reports....more

8/5/2015 - Affordable Care Act CHIP CMS Exemptions Health Insurance Health Insurance Exchanges Health Savings Accounts Healthcare Healthcare Costs Healthcare.gov HHS Medicaid Medicaid Expansion Medicare Open Enrollment Public Health Insurance Marketplace State Health Insurance Exchanges

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 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 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 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

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