Patricia Boozang

Patricia Boozang

Manatt, Phelps & Phillips, LLP

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Manatt on Medicaid: Medicaid: States’ Powerful Tool to Combat the Opioid Crisis

Editor’s Note: The United States is in the throes of a rapidly worsening opioid epidemic. The crisis is far-reaching: As of 2014, 1.9 million Americans had an opioid use disorder involving prescription medication, and an...more

8/20/2016 - Affordable Care Act Drug & Alcohol Abuse Medicaid Medicaid Expansion Opioid Pharmaceutical Industry Prescription Drugs

Manatt on Medicaid: Beneficiary Support and Enrollment Requirements

On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) released its final rule that significantly overhauls regulations governing Medicaid managed care. The final rule establishes new requirements for...more

5/23/2016 - Beneficiaries CHIP CMS Enrollment Medicaid

Manatt on Medicaid: CMS Finalizes Overhaul of Medicaid and CHIP Managed Care Rules

Overview - On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) released its highly anticipated final rule to overhaul the regulatory framework governing Medicaid managed care and make conforming...more

5/13/2016 - Affordable Care Act CHIP CMS Fee-for-Service Medicaid

Manatt on Medicaid: Massachusetts Releases Details on Forthcoming DSRIP Waiver Proposal

Medicaid Accountable Care Organizations - On April 14, 2016, the Massachusetts Executive Office of Health and Human Services released new details on a proposed restructuring of the MassHealth (Massachusetts Medicaid)...more

5/10/2016 - ACOs CMS DSRIP HHS MCOs Medicaid Payment Systems

Manatt on Medicaid: Ohio Releases Draft Waiver Request to Implement Major Medicaid Coverage Reforms

Overview - On April 15, 2016, Ohio released a draft Section 1115 waiver application to implement the Healthy Ohio Program. The Healthy Ohio Program, a five-year demonstration beginning in 2018, would modify features of...more

5/9/2016 - Affordable Care Act Cost-Sharing Medicaid Expansion Retroactive Waiver State Budgets

Manatt on Medicaid: 10 Trends to Watch in 2016

Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace. With the number of Americans obtaining...more

2/24/2016 - Affordable Care Act Health Insurance Managed Care Contracts Medicaid Medicaid Expansion Medicaid Reform Prescription Drugs Public Health Insurance Marketplace

Manatt on Medicaid: 10 Trends to Watch in 2016

Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace. With the number of Americans obtaining...more

1/21/2016 - CMS Managed Care Contracts Medicaid Medicaid Expansion Prescription Drug Coverage

Manatt on Medicaid: CMS Approves Michigan’s Waiver Amendment to Implement Reforms to ACA Medicaid Expansion

On December 17, 2015, the Centers for Medicare and Medicaid Services (CMS) approved Michigan’s request to amend its Healthy Michigan Section 1115 demonstration, through which the State provides coverage for more than 594,000...more

12/28/2015 - Affordable Care Act CMS Cost-Sharing Health Insurance Medicaid Expansion Waivers

Health Update - December 2015

Lessons from Hawaii's Trailblazing ACA 1332 Waiver Proposal - Editor's Note: On September 9, Hawaii became the first state to post a draft 1332 waiver proposal for public comment. While Hawaii's proposal focuses on the...more

12/22/2015 - Affordable Care Act CMS Contraceptive Coverage Mandate HHS Hospital Mergers IRS Long-Term Care Medicare Medicare Part B OIG Prescription Drugs Public Health Insurance Marketplace Religious Freedom SCOTUS Section 340B Split of Authority Stark Law Waivers

Manatt on Medicaid: CMS Approves Montana Waiver to Expand Medicaid

On November 2, 2015, the Centers for Medicare and Medicaid Services (CMS) approved Montana's request under Section 1115 of the Social Security Act to implement its Medicaid expansion. Referred to as the Health and Economic...more

11/9/2015 - CMS Medicaid Expansion State Medicaid Programs Third-Party Waivers

Manatt on Medicaid: Arizona Releases Draft Waiver Request for Approval to Implement Reforms to ACA Medicaid Expansion

Overview - On August 18, 2015, Arizona released the Modernizing Arizona Medicaid proposal for a new 1115 waiver to implement coverage and delivery system reforms in its Medicaid program, the Arizona Health Care Cost...more

9/21/2015 - Affordable Care Act CMS Cost-Sharing Health Savings Accounts Medicaid Medicaid Expansion Medicaid Reform New Legislation Premiums State Medicaid Programs Waivers

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 Industry 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 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 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 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

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