Several states are considering or have enacted legislation to create prescription drug affordability boards (PDABs)....more
From the end of the COVID-19 public health emergency (PHE) to the overturning of Roe v. Wade to the growth of AI in health care, multiple forces are converging to remap the health care landscape. In a new webinar, Manatt...more
5/7/2024
/ Artificial Intelligence ,
Equity ,
Health Care Providers ,
Healthcare Facilities ,
Healthcare Reform ,
Inflation Reduction Act (IRA) ,
Legislative Agendas ,
Mental Health ,
No Surprises Act (NSA) ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Physicians ,
Preventive Health Care ,
Provider Payments ,
Regulatory Requirements ,
Reimbursements ,
Webinars
From the end of the COVID-19 public health emergency (PHE) to the overturning of Roe v. Wade to the skyrocketing growth of virtual care, multiple forces are converging to remap the health care landscape. In a new webinar,...more
9/15/2023
/ Abortion ,
Children's Health Insurance Program (CHIP) ,
Continuous Coverage ,
Health Care Providers ,
Healthcare Reform ,
Inflation Reduction Act (IRA) ,
Legislative Agendas ,
Medicaid ,
Mental Health Parity Rule ,
No Surprises Act (NSA) ,
Non-Discrimination Rules ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Preventive Health Care ,
Provider Payments ,
Public Health Emergency ,
Regulatory Agenda ,
Reproductive Healthcare Issues ,
Roe v Wade ,
Shield Laws ,
Webinars
Americans are strongly focused on the upcoming midterm elections. An NBC News survey shows that 68% of Republicans and 66% of Democrats are expressing high interest in the midterms. Which issues are most critical to voters...more
9/26/2022
/ Abortion ,
Health Care Providers ,
Health Insurance ,
Healthcare Costs ,
Healthcare Reform ,
Legislative Agendas ,
Prescription Drugs ,
Regulatory Agenda ,
Reproductive Healthcare Issues ,
State Elections ,
Webinars
Editor’s Note: In a recent articlefor Health Law Weekly, summarized below, Manatt Health examines the implementation challenges of the No Surprises Act (NSA)—and shares three key areas providers should focus on to ensure...more
In January 2021, Manatt Health described the ten health care imperatives essential for improving our health care system and advancing health equity in the 2020s. Now two years into the decade, we have released our 2022...more
5/3/2022
/ Coronavirus/COVID-19 ,
Digital Health ,
Disparate Impact ,
Health Care Providers ,
Healthcare Facilities ,
Healthcare Reform ,
Healthcare Workers ,
Hospitals ,
Long Term Care Facilities ,
Mental Health ,
Patient Access ,
Pharmaceutical Industry ,
PHI ,
Physicians ,
Public Health ,
Webinars
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
On February 23, the federal District Court in the Eastern District of Texas struck down key provisions of regulations issued by the federal Departments of Health and Human Services, Labor, and the Treasury (Departments) and...more
The federal Centers for Medicare & Medicaid Services (CMS) has begun publishing on its website letters that it sent to states beginning in December 2021 that provide important information regarding the manner in which the...more
President Biden set an ambitious health care agenda in his campaign and maintained that focus as he took office. The Biden administration has expressed a strong commitment to “protect and build on the Affordable Care Act,...more
2/16/2022
/ Alternative Payment Models (APM) ,
Biden Administration ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Drug Pricing ,
Health Care Providers ,
Health Insurance ,
Health Plan Sponsors ,
Healthcare Reform ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Medicare Beneficiaries ,
Physicians ,
Public Health Emergency ,
Public Health Insurance Marketplace ,
Surprise Medical Bills ,
Telehealth ,
Webinars
On Tuesday, the U.S. Departments of Labor, Health & Human Services, and the Treasury (the Departments) issued their joint report to Congress on the Mental Health Parity and Addiction Equity Act (MHPAEA). The Consolidated...more
1/27/2022
/ Consolidated Appropriations Act (CAA) ,
Department of Health and Human Services (HHS) ,
Department of Labor (DOL) ,
Employee Benefits ,
Employer Group Health Plans ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Insurance Industry ,
Mental Health ,
Mental Health Parity Rule ,
MHPAEA ,
NQTLs ,
Statistical Analysis ,
Substance Abuse
On January 12, the Centers for Medicare & Medicaid Services (CMS) released the Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs proposed rule,...more
1/25/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Drug Pricing ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Medical Loss Ratio ,
Medicare ,
Medicare Advantage ,
Medicare Part D ,
Prescription Drug Coverage ,
Prescription Drugs
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
Editor’s Note: In this article, Manatt Health provides an update on the latest policy developments around the No Surprises Act (NSA) and the vaccination mandate for health care workers....more
1/19/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Dispute Resolution ,
Employer Mandates ,
Health Care Providers ,
Health Insurance ,
Healthcare Reform ,
Healthcare Workers ,
Interim Final Rules (IFR) ,
Out-of-Pocket Expenses ,
Surprise Medical Bills
The No Surprises Act (NSA), which was enacted in December 2020 as part of the Consolidated Appropriations Act, 2021, protects patients from surprise medical bills for emergency services and when they are treated by...more
The Big Picture -
The Biden Administration released an interim final rule with comment period (IFC) on September 30 that answers an important remaining question under the No Surprises Act (NSA): How will the amount that...more
10/18/2021
/ Biden Administration ,
Comment Period ,
Consolidated Appropriations Act (CAA) ,
Dispute Resolution ,
Good Faith ,
Health Care Providers ,
Health Insurance ,
Healthcare Reform ,
Interim Final Rules (IFR) ,
Out of Network Provider ,
Out-of-Pocket Expenses ,
Surprise Medical Bills
The Consolidated Appropriations Act, 2021 (CAA), made dozens of changes to health care regulation, including a landmark ban on surprise medical billing. Easily overlooked were new compensation disclosure requirements related...more
The Biden Administration this month significantly relaxed several compliance obligations related to price transparency and surprise billing that have been of intense concern to the health care industry—and had already...more
8/31/2021
/ Biden Administration ,
Disclosure Requirements ,
Health Care Providers ,
Health Insurance ,
Healthcare Costs ,
Healthcare Reform ,
Hospitals ,
Out-of-Pocket Expenses ,
Price Transparency ,
Regulatory Agenda ,
Surprise Medical Bills
After a six-month delay due to the COVID-19 pandemic, the first provisions of the interoperability rule issued by the Centers for Medicare & Medicaid Services (CMS) took effect on July 1. The new requirements are the first of...more
7/19/2021
/ Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Data Management ,
Data Protection ,
Data-Sharing ,
Health Care Providers ,
Health Insurance ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare Reform ,
Medicare Advantage Organizations (MAOs) ,
Price Transparency ,
Qualified Health Plans ,
Regulatory Requirements
After years of concern from policymakers and industry stakeholders about patients receiving surprise medical bills when they inadvertently use an out-of-network provider, a new federal law will go into effect January 1, 2022,...more
7/13/2021
/ Comment Period ,
Health and Welfare Plans ,
Health Care Providers ,
Health Insurance ,
Healthcare Reform ,
Legislative Agendas ,
Out of Network Provider ,
Out-of-Pocket Expenses ,
Proposed Legislation ,
Public Comment ,
Regulatory Agenda ,
Surprise Medical Bills
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
3/24/2017
/ Affordable Care Act ,
Antitrust Immunity ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Essential Health Benefits ,
False Claims Act (FCA) ,
Health Insurance ,
Healthcare Reform ,
Insurer Liability ,
Medicaid ,
Premiums ,
Repeal ,
Trump Administration
Balancing Gene Therapy’s Promise and Price -
Editor’s Note: Exciting advances in science have led to developing treatment breakthroughs, such as gene scripting therapies, that could represent the first potential cures...more
12/20/2016
/ Affordable Care Act ,
Anti-Kickback Statute ,
Civil Monetary Penalty ,
Final Rules ,
Healthcare Reform ,
Hospice ,
MCOs ,
Medicaid ,
Medicare ,
Non-Discrimination Rules ,
OCR ,
OIG ,
Safe Harbors ,
Telehealth
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