Patricia Boozang

Patricia Boozang

Manatt, Phelps & Phillips, LLP

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Health Update - June 2015

Examining Fee Splitting Statutes in the Context of Value-Based Healthcare - Editor’s note: One of the goals of the Affordable Care Act (ACA) is to align incentives among provider communities and their patients and...more

6/23/2015 - Affordable Care Act Cardinal Health Fee-Splitting FTC Hospital Mergers Hospitals Licensing Boards Medicare Shared Savings Program Mergers Pharmaceutical Pharmacies Prescription Drugs Radiopharmaceuticals SCOTUS Value-Based Fees

CMS Proposes Overhaul of Medicaid and CHIP Managed Care Rules

On May 26, 2015, the Centers for Medicare and Medicaid Services (CMS) released a notice of proposed rulemaking (NPRM) to overhaul the regulations governing Medicaid managed care and make conforming changes to the rules that...more

6/13/2015 - CHIP CMS Grievance Process Managed Care Contracts Medicaid Medical Loss Ratio Medicare Medicare Advantage NPRM Prescription Drug Coverage Quality of Care Standards

Coverage Options for Massachusetts: Leveraging the Affordable Care Act

Massachusetts led the nation in expanding healthcare coverage and reforming its payment and delivery models, with considerable success. The Affordable Care Act (ACA) provided Massachusetts with new tools and new funding,...more

5/27/2015 - Affordable Care Act Chapter 58 Health Insurance Healthcare Reform

Manatt on Medicaid: Montana Governor Signs Act to Expand Medicaid

On April 29, 2015, Montana Governor Steve Bullock signed Senate Bill 405, referred to as the Montana Health and Economic Livelihood Partnership Act (HELP Act), which expands Medicaid to cover an estimated 70,000 new adults....more

5/1/2015 - Affordable Care Act CMS Governor Bullock Healthcare Medicaid Medicaid Expansion New Legislation TPAs

Estimated State Budget Impact of a MaineCare Expansion in 2016

This brief examines the budget implications of expanding MaineCare (Maine’s Medicaid program) and finds that the state savings coupled with the new revenues are sufficient to offset state costs attributable to expansion in...more

4/29/2015 - Healthcare Medicaid Medicaid Expansion State Budgets

States Expanding Medicaid See Significant Budget Savings and Revenue Gains

In a report prepared for the State Health Reform Assistance Network, Manatt highlights key ways in which eight states—Arkansas, Colorado, Kentucky, Michigan, New Mexico, Oregon, Washington and West Virginia—were able to...more

4/17/2015 - Affordable Care Act Healthcare Medicaid Medicaid Reform Revenue Growth State Budgets

Medicaid Expansion Leads to Economic Benefits While Improving Access to Coverage

The Affordable Care Act provides states with a powerful incentive to expand Medicaid to adults with incomes up to 133% of the Federal Poverty Level, paying for 100% of Medicaid coverage through 2016, and eventually phasing to...more

4/13/2015 - Affordable Care Act Health Insurance Healthcare Medicaid Medicaid Expansion Revenue Growth

Health Update - March 2015

Supporting Informed Decision Making in the Health Insurance Marketplace: A Progress Report - Editor’s note: As Affordable Care Act (ACA) implementation moves forward and the marketplace continues to evolve, there is a...more

3/25/2015 - ACOs Affordable Care Act Antitrust Provisions Clinical Trials Health Insurance HIPAA Informed Consent Medicaid Medicaid Expansion Next Generation ACO (NGACO)

Manatt on Medicaid: 10 Trends to Watch in 2015

Medicaid is the single largest payer for healthcare services in every state. With nearly 10 million people enrolling in 2014 alone, total enrollment nationally tops 68 million, or one in five Americans....more

2/3/2015

Manatt on Medicaid: CMS Approves Indiana Waiver to Expand Medicaid

On January 27, 2015, the Centers for Medicare and Medicaid Services (CMS) approved Indiana’s waiver request under Section 1115 of the Social Security Act to implement its Medicaid expansion. Referred to as the Healthy Indiana...more

1/30/2015 - CMS Cost-Sharing Health Insurance Medicaid Medicaid Expansion POWER Accounts Waivers

Health Update - January 2015

Sharing Clinical Trial Data: Maximizing Benefits, Minimizing Risk - Editor’s note: At the request of 23 public and private sector sponsors—including major life sciences companies, as well as U.S. and international...more

1/29/2015 - Clinical Trials Data-Sharing Healthcare Life Sciences Risk Assessment Risk Management

Manatt on Medicaid: Arkansas Update – Private Option To Continue, Additional Medicaid Reforms To Be Explored

In a highly anticipated speech on January 22, 2015, the newly inaugurated Governor of Arkansas, Asa Hutchinson, laid out his vision for charting the future of Medicaid in Arkansas. Governor Hutchinson outlined a plan that...more

1/27/2015 - Healthcare Reform Medicaid State Budgets

Manatt on Medicaid: Tennessee Releases Draft Waiver Amendment for Approval to Implement ACA Medicaid Expansion

On January 8, 2015, Tennessee released a proposal to expand its Medicaid program through an amendment to its current TennCare II waiver under Section 1115 of the Social Security Act. Tennessee’s two-year proposal, called...more

1/15/2015 - Affordable Care Act Healthcare Healthcare Reform Medicaid Medicaid Expansion Proposed Amendments

Manatt on Medicaid: Early Results Point to Benefits of Expansion

By the end of 2014, 27 states and the District of Columbia had expanded Medicaid eligibility to adults with incomes up to 133% of the Federal Poverty Level (FPL). And, governors in Indiana, Montana, Tennessee, Utah and...more

1/9/2015 - Federal Poverty Line Health Care Providers Healthcare Hospitals Medicaid Medicaid Expansion

The Future of MassHealth: Five Priority Issues for the New Administration

Executive Summary - The past decade marked an era of seismic change in the Massachusetts health care market and one in which the Commonwealth led the nation in coverage and delivery system reform. In 2006,...more

12/11/2014 - Affordable Care Act Health Care Providers Health Insurance Healthcare Medicaid Medicaid Expansion

Coverage and Delivery of Adult Substance Abuse Services in Medicaid Managed Care

Medicaid’s role in purchasing and delivering substance abuse services is changing dramatically. Prior to the implementation of the Affordable Care Act (ACA), most state Medicaid programs did not cover childless adults and...more

10/2/2014 - Affordable Care Act Health Insurance Medicaid Mental Health MHPAEA Substance Abuse

Manatt on Medicaid: Indiana Releases Draft Waiver for Approval to Implement ACA Medicaid Expansion

On May 15, 2014, Indiana released a draft waiver under Section 1115 of the Social Security Act, requesting approval to implement a Medicaid expansion through the Healthy Indiana Plan (HIP) 2.0, building on its existing...more

5/20/2014 - Healthcare HSA Medicaid Medicaid Expansion Section 1115 Waivers

Manatt on Medicaid: New Hampshire Elects to Expand Medicaid Using Private Plans

Last week, New Hampshire’s governor signed a law (Senate Bill 413-FN-A) that will expand Medicaid to adults with incomes up to 133 percent of the federal poverty line. The law is expected to result in some 50,000 New...more

4/3/2014 - Healthcare Medicaid Medicaid Expansion Medicare

Health Update - Feb 24, 2014: Manatt on Medicaid: Pennsylvania Submits Waiver Application for Approval to Implement ACA Medicaid...

On February 19, 2014, Pennsylvania submitted to CMS an application requesting approval under Section 1115 of the Social Security Act to implement the Affordable Care Act (ACA) Medicaid expansion effective January 1, 2015....more

2/25/2014 - Affordable Care Act CMS Healthcare Reform Medicaid Medicaid Expansion

Health Update - Jan 27, 2014

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

1/27/2014 - Affordable Care Act Cybersecurity Data Breach Data Protection EHR Health Insurance Exchanges Healthcare PHI Professional Liability

CMS Approves Michigan’s Amendment to Its Waiver Implementing ACA Medicaid Expansion through “Healthy Michigan”

On December 30, 2013, the Centers for Medicare and Medicaid Services (CMS) approved Michigan’s request to amend an existing waiver to implement the Affordable Care Act (ACA) Medicaid expansion effective April 1, 2014 through...more

1/7/2014 - Affordable Care Act CMS Healthcare Healthcare Reform Waivers

SPECIAL EDITION: CMS Approves Iowa’s Waivers to Implement ACA Medicaid Expansion

On December 10, 2013, the Centers for Medicare and Medicaid Services (CMS) approved Iowa’s waivers to implement the Affordable Care Act (ACA) Medicaid expansion. The state plans to provide coverage for the new adult group...more

12/16/2013 - Affordable Care Act CMS Healthcare Healthcare Reform Medicaid Waivers

Insights on Arkansas’s “Private Option” Medicaid Expansion

On September 27, 2013, the Centers for Medicare and Medicaid Services (CMS) approved Arkansas’s waiver to implement the Affordable Care Act (ACA) Medicaid expansion by using premium assistance to purchase QHPs in the Health...more

10/8/2013 - Affordable Care Act CMS Health Insurance Exchanges Healthcare Medicaid Premiums Qualified Health Plans

Healthcare Law -- Sep 26, 2013

Engaging Consumers to Improve Integrated Care Models - Integrated care is a growing trend in health reform, as states seek to improve care quality, health outcomes and patient satisfaction while containing healthcare...more

9/27/2013 - ACOs Affordable Care Act CMS Health Insurance Exchanges Healthcare Integrated Care Program Medicaid Premiums Qualified Health Plans Subsidies Tax Credits

Healthcare Law -- Jul 15, 2013

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 DOMA Employee Benefits Employer Mandates Health Insurance Health Insurance Exchanges Healthcare Healthcare Reform HHS Medicaid Pay or Play Pharmacies Same-Sex Marriage SCOTUS Shared Responsibility Rule U.S. Treasury

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