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Implementing a Statewide Healthcare Cost Benchmark

Editor’s Note: Seeking methods to better understand and control healthcare costs, many states are taking a careful look at a state-defined spending target, or “benchmarking” model, that originated in Massachusetts and has...more

Implementing a Statewide Healthcare Cost Benchmark: How Oregon and Other States Can Build on the Massachusetts Model

State interest in healthcare cost containment has grown dramatically since Massachusetts enacted the nation’s first cost benchmarking program in 2012. At that time, most states were focused on coverage expansion through the...more

Faces of MassHealth: Portrait of a Diverse Population

Serving over 1.8 million Massachusetts residents, MassHealth provides access to healthcare services for people of varying ages and life circumstances across the Commonwealth. These services improve enrollees’ health and...more

Addressing Major Drivers of MassHealth Per-Enrollee Spending Growth

The Massachusetts Medicaid program, MassHealth, plays a critical role as a source of health insurance coverage in Massachusetts. It covers a broad range of residents of the commonwealth, including vulnerable populations such...more

Healthcare Transparency: Where We Stand, What Policymakers Can Do

Editor’s Note: It’s welcome news that Department of Health & Human Services (HHS) Secretary Alex Azar has embraced the cause of transparency in healthcare. In a new Health Affairs blog post, summarized below, Manatt Health...more

The Promise of All-Payer Claims Databases

All-Payer Claims Databases (APCDs) are some of our nation’s most powerful healthcare data assets, yet information about what they are, the populations and the types of data they include, and how they can be effectively...more

7/24/2018  /  Databases , Health Care Providers

States Report Increases in Children’s Medicaid Dental Utilization

On May 4, 2018, Center for Medicaid and CHIP Services (CMCS) Acting Director Timothy Hill released an Informational Bulletin calling for states to review their Medicaid and CHIP payment policies to ensure alignment with...more

New Analyses Find Montana Medicaid Expansion Saving Millions of Dollars, Helping Thousands Access Preventive Care - Number of...

Bozeman, Mont. – According to two independent analyses released today, Montana’s 2015 bipartisan Medicaid legislation has saved more than $36 million in the state’s budget and helped more than 65,000 adults access preventive...more

Medicare Advantage Enrollment Growth by Region (2008-17)

For the past decade, Medicare Advantage (MA) plans added nearly 10 million members. In 2017, one-third of Medicare beneficiaries nationally had enrolled in MA plans. Western states embraced MA early, with nearly one-third of...more

Health Update - April 2018

Connecting Justice-Involved Populations to Health Coverage and Care - Editor’s Note: The importance of connecting justice-involved populations to health coverage and care is evident from the high levels of physical and...more

Healthcare Litigation - April 2018

Mental Health and Minors: Proceed With Caution! - Imagine representing a party in a lawsuit concerning coverage for mental health services. The lawsuit was brought by the parents of a minor child. The client received a...more

Medicaid: Linchpin in State Strategies to Address Opioid Epidemic

The nation’s opioid epidemic claimed more than 42,000 lives in 2016, and more than 2 million people in the United States have an opioid use disorder (OUD). Yet only 1 in 5 people suffering from an OUD receive treatment. The...more

Health Update - March 2018

The Promise of Data-Driven Healthcare: Megatrends for 2018 - Editor’s Note: For state health programs, payers, providers and life sciences companies, data and analytics have become essential to facilitating efficient and...more

Manatt on Health: October 2017

Massachusetts Waiver Amendment Requests Partial Expansion and Closed Formulary - On September 8, 2017, Massachusetts submitted a waiver amendment request to the Centers for Medicare & Medicaid Services (CMS) to modify its...more

Health Update - July 2017

Contracting With Technology Vendors: Obligations and Compliance Strategies - Editor’s Note: In a recent webinar, Manatt Health examined how to protect privacy when communicating in the digital age. The session revealed how...more

Health Update - May 2017

Mapping the Healthcare M&A Landscape Under the New Administration - Editor’s Note: The healthcare M&A market continues to be among the most active sectors. In a recent webinar, Manatt examined how the policies and goals of...more

Health Update - April 2017

CMS Issues Self-Referral Disclosure Protocol for Stark Law Violations - On March 28, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a new voluntary self-referral disclosure protocol (SRDP) for disclosing...more

Changes to Medicaid Expansion in the American Health Care Act:  State-by-State Estimates of the Coverage and Fiscal Impact

The House currently is considering the American Health Care Act (AHCA), a bill to repeal and replace the Affordable Care Act (ACA). Among other things, the bill will phase out enhanced federal funding for the expansion of...more

Health Update - March 2017

The Future of Essential Health Benefits - Editor's Note: The Essential Health Benefits (EHB) rule may be among the many parts of the Affordable Care Act (ACA) that are on the chopping block as the Trump Administration and...more

Health Update - February 2017

Securing the Safety Net for America's Vulnerable Populations - Editor's Note: America's population is aging rapidly. By 2029, 75 million baby boomers will have reached age 65 and older, and older adults will represent...more

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