A recent study published in JAMA estimated that more than six million people in the U.S. have diet-sensitive conditions and activity limitations that could benefit from medically tailored meals, a type of Medically Supportive...more
Editor’s Note: Approximately 12 million people in the United States are dually eligible for both Medicare and Medicaid. Most dual-eligible individuals live below the poverty line and have complex health needs. Because...more
Approximately 12 million people in the United States are dually eligible for Medicare and Medicaid. Because dual-eligible individuals and health plans serving this population must navigate two disparate coverage programs,...more
On January 18, 2022, Governor Kathy Hochul released her budget proposal for State Fiscal Year 2023. While record-breaking in its size—totaling $216.3 billion—and inclusive of many investments in Medicaid and health care more...more
1/26/2022
/ Children's Health Insurance Program (CHIP) ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Healthcare Workers ,
Hospitals ,
Legislative Agendas ,
Long Term Care Facilities ,
Managed Care Contracts ,
Medicaid ,
Mental Health ,
New York ,
Pharmacies ,
State and Local Government ,
State Budgets ,
State Funding ,
Substance Abuse
Issue 1 -
The Issue -
Medicaid is woven into the fabric of states’ health care systems and economies: it covers one in five Americans; is the single largest insurer in every state; and is the largest source of funding...more
Across the country, policymakers, healthcare stakeholders and consumer advocates are motivated to expand affordable coverage, with the overarching goals of lowering the uninsured rate, addressing affordability and access to...more
Against the backdrop of rising costs for health coverage, uncertainty regarding stability of the individual market and the state’s persistently high uninsurance rate of more than 9%, New Mexico is considering a Medicaid...more
As healthcare costs continue to rise and stakeholders maintain focus on improving quality of care and outcomes, payors for healthcare services are turning to value-based payment (VBP) as one tool to inject greater value into...more
Medicaid has entered a period of volatile change, unprecedented in its 51-year history.
With 74 million members nationwide,1 Medicaid provides health coverage to more than one in four Americans, ensuring access to...more
Editor's Note: This “Manatt on Medicaid” is the fourth in a series of updates focused on CMS’s new Medicaid/CHIP managed care regulations. In the coming weeks, Manatt will be exploring key provisions of the regulations and...more
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 ,
Federal Trade Commission (FTC) ,
Fee-Splitting ,
Hospital Mergers ,
Hospitals ,
Licensing Boards ,
Medicare Shared Savings Program ,
Mergers ,
Pharmaceutical Industry ,
Pharmacies ,
Prescription Drugs ,
Radiopharmaceuticals ,
SCOTUS ,
Value-Based Fees
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
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
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