On July 1, Oregon launched a Basic Health Program (BHP) that offers comprehensive health care coverage, including medical, dental, and behavioral health care, with zero premiums and zero cost-sharing for eligible individuals...more
The Affordable Care Act (ACA) Marketplaces have nearly tripled their enrollment in their first decade of operation, from eight million people in 2014 to 21.4 million in 2024. At the national level, the ACA has helped cut the...more
Editor’s Note: Welcome to the Manatt State Cost Containment Update, a digital publication produced with generous support from the Robert Wood Johnson Foundation and developed in coordination with the Peterson-Milbank Program...more
The Centers for Medicare & Medicaid Services (CMS) released the final 2023 Notice of Benefit and Payment Parameters (NBPP), the annual rule outlining key policies for the individual and group health insurance markets for plan...more
On April 5, President Biden held an event at the White House celebrating coverage gains since the enactment of the Affordable Care Act (ACA). Joined by Vice President Harris and former President Obama, President Biden...more
In July 2021, Governor Kate Brown signed into law HB 2010, which charges the Oregon Health Authority (OHA), in collaboration with the Department of Consumer and Business Services (DCBS), with developing a potential path for a...more
Oregon is committed to closing the remaining gap in health insurance coverage and doing so in a way that helps the State meet its goal of eliminating health inequities. According to the Oregon Health Insurance Survey,...more
In December 2021, the Centers for Medicare & Medicaid Services (CMS) released the proposed Notice of Benefit and Payment Parameters for 2023. This proposal kicks off the annual rulemaking cycle for the Marketplaces and the...more
Post-Election Analysis: Healthcare Antitrust in a Trump Administration -
In a Republican sweep of all the elected branches of the federal government, Donald Trump won the presidential election and Republicans retained...more
11/23/2016
/ Affordable Care Act ,
Alternative Payment Models (APM) ,
Centers for Medicare & Medicaid Services (CMS) ,
Covered Entities ,
Data Collection ,
Data Security ,
Enforcement ,
Federal Trade Commission (FTC) ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Healthcare Reform ,
Internal Revenue Code (IRC) ,
IRS ,
Marketing ,
Medicare Access and CHIP Reauthorization (MACRA) ,
MIPS ,
Presidential Elections ,
Public Concern ,
Reinsurance ,
Section 501r ,
Trump Administration
In this newsletter, we highlight some of the ways digital technologies are transforming healthcare and the opportunities and challenges they present to individuals and businesses. We also introduce you to our team at Manatt...more
10/23/2015
/ Algorithms ,
Analytics ,
Electronic Medical Records ,
Health Care Providers ,
Health Information Technologies ,
Health Insurance ,
Health Insurance Exchanges ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Innovation ,
Medicaid ,
Mobile Apps ,
Mobile Health Apps ,
PHI ,
Public Health Insurance Marketplace ,
Telehealth ,
Telemedicine ,
Wearable Technology
Overview -
On September 9 Hawaii became the first state to post a draft 1332 waiver proposal for public comment. While Hawaii's waiver proposal is focused on the state's unique 40-year-old employer mandate, the 40-page...more
9/28/2015
/ Affordable Care Act ,
Comment Period ,
Department of Health and Human Services (HHS) ,
Employee Retirement Income Security Act (ERISA) ,
Employer Mandates ,
Essential Health Benefits ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Individual Mandate ,
Public Health Insurance Marketplace ,
Scope of Coverage ,
SHOP Program ,
Tax Credits ,
U.S. Treasury ,
Waivers
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
Engaging Patients While Addressing Their Privacy Concerns: The Experience of Project HealthDesign -
Patients are using the Internet, personal health records (PHRs) and mobile applications or “apps” to collect and...more
10 Megatrends Shaping Healthcare’s Next 10 Years -
The American healthcare system is undergoing massive change. From transformational policies to disruptive technologies to groundbreaking medical advances, powerful...more
As the Healthcare Landscape Shifts, Four Issues Are Critical to Build Effective Market Access Strategies -
In this time of high growth and fast change for the healthcare industry, pharmaceutical, biotechnology and...more
8/20/2013
/ Affordable Care Act ,
Biotechnology ,
Compliance ,
False Claims Act (FCA) ,
Fraud ,
Health Insurance Exchanges ,
Healthcare ,
Insurance Industry ,
Manufacturers ,
Medical Devices ,
Penalties ,
Pharmaceutical Industry ,
Premiums ,
Prescription Drugs ,
Reimbursements
How Does the DOMA Defeat Impact Healthcare Reform and Health Insurance Access? -
NOTE: The Supreme Court's 5-4 decision to invalidate the Defense of Marriage Act (DOMA) will affect more than 1,000 federal statutes—and...more
7/16/2013
/ Affordable Care Act ,
Delays ,
Department of Health and Human Services (HHS) ,
DOMA ,
Employee Benefits ,
Employer Mandates ,
Health Insurance ,
Health Insurance Exchanges ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Pay or Play ,
Pharmacies ,
Same-Sex Marriage ,
SCOTUS ,
Shared Responsibility Rule ,
U.S. Treasury
Public Exchanges Dominate the Headlines, but Will Private Exchanges Really Shape the Future? -
As states begin to announce which insurers will participate in their Exchange marketplaces, we are seeing public Exchanges...more
Will Employers Face a Surge in Enrollment?
Employers start by asking one big question. Are they currently excluding a significant number of employees to whom they now will need to offer coverage? For many, the answer...more