On Monday, April 22, the Centers for Medicare & Medicaid Services (CMS) released two highly anticipated final rules. Together, these rules reshape the federal regulatory landscape for Medicaid and the Children’s Health...more
The Big Picture -
In recognition of the impact of health-related social needs (HRSNs), the Centers for Medicare & Medicaid Services (CMS) issued a new Informational Bulletin and accompanying framework on November 16, which...more
On December 1, 2023, North Carolina will become the 40th state to implement Medicaid expansion under the Affordable Care Act (ACA), extending Medicaid eligibility to more than 600,000 adults with incomes up to 138% of the...more
Introduction -
Over the past year, the North Carolina Department of Health and Human Services (NCDHHS) has tested the health impacts of providing services to address certain social drivers of health—the conditions in which...more
North Carolina’s “Healthy Opportunities Pilots” were among the first 1115 demonstrations granting broad state authority to leverage Medicaid funding to address drivers of health—the conditions in which people live, work and...more
Health and well-being require far more than medical care. Research shows that personal behaviors, physical environments and socioeconomic factors—commonly referred to as social drivers of health (SDOH)—are responsible for 80...more
The authors are grateful for insights provided by state Medicaid agency staff from the Arizona Health Care Cost Containment System, MassHealth, New York State Department of Health, Oregon Health Authority, Rhode Island...more
In a new webinar based on their soon-to-be-released resource, Integrating Community Care Hubs into Efforts to Address Social Drivers of Health: A Playbook for State Medicaid Agencies, Manatt Health and the Partnership to...more
Editor’s Note: There is mounting evidence that addressing the social and economic factors that drive the majority of health outcomes, often called social drivers of health (DOH), can improve health, promote health equity and...more
In the two weeks following the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, the Biden Administration has taken several actions to provide clarity about women’s access to reproductive health...more
7/11/2022
/ Abortion ,
Department of Health and Human Services (HHS) ,
Dobbs v. Jackson Women’s Health Organization ,
EMTALA ,
Equal Protection ,
Healthcare ,
Healthcare Reform ,
New Guidance ,
OCR ,
Patient Access ,
Regulatory Agenda ,
Reproductive Healthcare Issues ,
Roe v Wade ,
SCOTUS
The Big Picture -
On June 24, the Supreme Court of the United States issued a far-reaching decision, Dobbs v. Jackson Women’s Health Organization, that repudiates nearly 50 years of precedent on a woman’s right to abortion...more
6/28/2022
/ Abortion ,
Centers for Medicare & Medicaid Services (CMS) ,
Corporate Counsel ,
Department of Health and Human Services (HHS) ,
Dobbs v. Jackson Women’s Health Organization ,
Equal Protection ,
First Amendment ,
Healthcare ,
HIPAA Security Rule ,
Patient Access ,
Planned Parenthood of Southeastern Pennsylvania v Casey ,
Popular ,
Pregnancy ,
Professional Liability ,
Professional License ,
Reproductive Healthcare Issues ,
Roe v Wade ,
SCOTUS
Drivers of Health (DOH)—the conditions under which people live, learn, work, play and age—are proven to have a greater impact on health than medical care. As evidence mounts for the importance of DOH in driving health...more
5/12/2022
/ Continuing Legal Education ,
Financing ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
Medicaid ,
Medicare ,
Partnerships ,
Risk Mitigation ,
Social Services ,
Webinars
The Supplemental Nutrition Assistance Program (SNAP)—the largest food program administrated by the U.S. Department of Agriculture (USDA)—is an effective tool to combat food insecurity and related negative impacts on health....more
11/29/2021
/ Coronavirus/COVID-19 ,
Eligibility Determination ,
Emergency Access ,
Food Stamps ,
Healthcare ,
Infectious Diseases ,
MCOs ,
Medicaid ,
Public Health ,
Public Health Emergency ,
SNAP Program ,
USDA
Gun violence has been on the rise in every state in the country, disproportionately plaguing communities of color. Connecticut is taking an innovative approach, using Medicaid funding to support the State’s community-based...more
Join Manatt Health and a Panel of Innovators for a Compelling Look at How Integrating SDOH Can Improve Health Outcomes and Advance Health Equity... Register Free for the Fourth Program in Our “Ten Health Care Imperatives for...more
Editor’s Note: In a new issue brief supported by the Blue Shield of California Foundation and the Commonwealth Fund, Manatt Health—in partnership with The Health Initiative—presents strategies for how states can buy health,...more
Editor’s Note: Manatt Health and The Health Initiative have released a new white paper—funded by Blue Shield of California Foundation and the Commonwealth Fund—outlining options for the Centers for Medicare & Medicaid...more
After a tumultuous four days, Joe Biden crossed the electoral college threshold to become the 46th President of the United States, a result that the Trump Campaign is challenging with recounts and litigation in several...more
Editor’s Note: In a new report, Manatt explores how states are using two key tools—Medicaid managed care contracts and 1115 waivers—to address the unmet social needs of people with Medicaid coverage. The findings have...more
On April 10, the U.S. Department of Health and Human Services (HHS) announced the immediate distribution of the first $30 billion of the $100 billion appropriated in the Coronavirus Aid, Relief, and Economic Security (CARES)...more
On November 6, 2019, the Centers for Medicare and Medicaid Services (CMS) approved Washington, DC’s Behavioral Health Transformation Demonstration, which waives the institution for mental diseases (IMD) exclusion for...more
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
On October 24, 2018, North Carolina received approval from the federal Centers for Medicare & Medicaid Services (CMS) of its 1115 waiver for a five-year demonstration period. The waiver provides the North Carolina Department...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
Actions to Advance Infant and Early Childhood Mental Health -
Editor's Note: Children's earliest experiences—both positive and negative—impact their brain formation and in turn their social and emotional, physical,...more
5/24/2016
/ Employee Retirement Income Security Act (ERISA) ,
Federal Trade Commission (FTC) ,
Gobeille v Liberty Mutual Insurance Com. ,
Health Insurance ,
Long-Term Care ,
Manufacturers ,
Mental Health ,
Pay-For-Delay ,
Preemption ,
Public Health Insurance Marketplace ,
SCOTUS