Patricia Boozang

Patricia Boozang

Manatt, Phelps & Phillips, LLP

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Proposals to Cap State Medicaid Funding: Massachusetts Considerations - Prepared for the Massachusetts Coalition for Coverage and...

In a new chart pack commissioned by the Blue Cross Blue Shield of Massachusetts Foundation for the Massachusetts Coalition for Coverage and Care, Manatt Health provides an overview of proposals to cap federal Medicaid funding...more

3/20/2017 - 1115 Waivers Affordable Care Act Blue Cross Healthcare Reform Medicaid Medicaid Expansion State Funding

Repealing the Medicaid Expansion: Implications for Montana

Congress is currently debating whether and how to repeal and replace the Affordable Care Act (ACA). This report provides an analysis of the potential impact to the State of Montana of a possible repeal of one portion of the...more

3/9/2017 - Affordable Care Act Health Care Providers Health Insurance Healthcare Reform Medicaid Medicaid Expansion

Medicaid at a Crossroads: What's at Stake?

Editor's Note: Since its inception 50 years ago, Medicaid has evolved from a small welfare program into an integral part of the nation's health insurance system, now covering more than one in five low-income children and...more

2/28/2017 - Affordable Care Act Health Insurance Healthcare Reform healthcare-r Medicaid Medicaid Expansion Value-Based Payments

Comparison of Key Repeal and Replace Proposals

As the incoming Congress and administration develop plans to “repeal and replace” the Affordable Care Act (ACA), analysis of five earlier repeal and replace proposals provides insights into the key features likely to appear...more

12/16/2016 - Affordable Care Act CMMI Cost-Sharing Healthcare Reform Medicaid Expansion Medicare Presidential Elections Tax Credits Trump Administration

Repeal of ACA Medicaid Expansion: Critical Questions for States

Much of the post-election debate over the potential repeal of the Affordable Care Act (ACA) has focused on the fate of the Marketplaces, the mandate, and popular insurance reforms such as the ban on preexisting conditions....more

12/15/2016 - Affordable Care Act Health Insurance Healthcare Healthcare Reform Medicaid Medicaid Expansion

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

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