An effective AI governance model will allow health systems to take advantage of innovative technologies, while mitigating risks to patients. There have been a lot of attention-grabbing headlines about AI replacing physicians,...more
Introduction -
The recent explosion of artificial intelligence (AI) innovation allows us to begin to imagine a world where patients don’t need a “second opinion” because the first is informed by a near-instantaneous...more
With the prices of homes and rentals continuing to climb alongside already high rates of housing insecurity, access to basic, safe, and clean housing is at risk for many people with low incomes across the country. Recognizing...more
In the wake of the Supreme Court’s June 24 decision in Dobbs v. Jackson Women’s Health Organization, which overturned Roe v. Wade’s long-standing constitutional protections for abortion access, more than a dozen states have...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
Mounting evidence indicates 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 reduce costs....more
Increasingly, states are using their Medicaid managed care (MMC) contracts to define the role Medicaid and Medicaid managed care plans can play in addressing unmet social needs and promote a “whole person” approach to care. A...more
Introduction and Intent -
As the country re-emerges from a pandemic that has had a disproportionate impact on communities of color, academic medical centers (AMCs) are shifting out of crisis-response mode and reflecting on...more
7/26/2021
/ Admissions ,
Clinical Trials ,
Community Health Systems ,
Disparate Impact ,
Disparate Treatment ,
Diversity ,
Health Care Providers ,
Minorities ,
Race Relations ,
Social Equity Programs ,
STEM ,
Teaching Hospitals ,
Training
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
Physician practice acquisitions and/or equity investment by nontraditional players, such as health plans, private equity investors, venture capitalists and large employers, is a growing trend. These new entrants give...more
Hospitals and health systems across the country are redesigning care delivery to improve quality and outcomes, enhance the patient experience, reduce costs and, ultimately, produce better population health. They are testing...more
Editor’s Note: The United States is in the midst of the worst drug crisis in history. In 2017, nearly 50,000 Americans died of an opioid overdose. For the California Health Care Foundation (CHCF), Manatt Health has created a...more
The United States is in the midst of the worst drug crisis in its history. In 2017, nearly 50,000 Americans died of an opioid overdose, including more than 2,000 Californians. Addressing the epidemic requires responses from...more
Editor’s Note: Manatt Health modeled the extent to which hospitals and health systems could save money on post-acute care (PAC) by taking a strategic, data-driven approach to skilled nursing facility (SNF) placement....more
A new report prepared for the California Health Care Foundation reviews California’s Medicaid rate-setting process and offers recommendations for adjustments to that process to encourage health plan investments in...more
Real-Time Data Analytics in Government Investigations and Reducing Exposure -
It is not every day that the words “innovative” and “nimble” are used when referring to an agency of the federal government bureaucracy. Yet,...more
6/24/2016
/ ACOs ,
Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Federal Trade Commission (FTC) ,
Government Investigations ,
Healthcare Fraud ,
HEAT ,
Hospital Mergers ,
IRS ,
MCOs ,
Medi-Cal ,
Medicaid ,
Medicare Advantage ,
OIG ,
Section 340B
Over the past few years, California’s Medicaid program, known as Medi-Cal, has been catapulted into a new role. It has evolved from a program designed to provide health coverage to a subset of low-income individuals and help...more
On December 30, 2015, the Centers for Medicare and Medicaid Services (CMS) approved California's request to renew its waiver under Section 1115 of the Social Security Act. A significant component of the waiver is the Delivery...more
Going Digital with Patients: Managing Potential Liability Risks of Patient-Generated Electronic Health Information -
Patients are increasingly using new electronic tools, such as personal health records and mobile...more