On July 1, Oregon launched a Basic Health Program (BHP) that offers comprehensive health care coverage, including medical, dental, and behavioral health care, with zero premiums and zero cost-sharing for eligible individuals...more
Question: A health plan that I participate with has sent me a notice stating that it has audited some of the claims I have submitted over the past three years. The health plan believes that some of these claims were improper...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
States have always been the primary regulators of their local health care markets and have increasingly used All Payer Claims Databases (APCDs) as one tool to help them make data-driven policy decisions. Like much state...more
In a New Webinar, Manatt and the Leukemia & Lymphoma Society Share the Obstacles Cancer Patients Face to Receiving Proper Treatment—and the Policies States and Plans Can Implement to Improve Network Adequacy and Access. ...more
What New Obligations Do Health Plans and States Face Under the Latest Interoperability Requirements—and What’s the Best Path to Compliance? Learn the Answer at a New Manatt Webinar. Historically, privacy rules have focused...more
Last week, Texas Governor Greg Abbott and the Texas Department of Insurance (TDI) instituted measures to expand the use of telemedicine in response to the COVID-19. A significant part of the federal government’s response to...more
Yesterday, Texas Governor Greg Abbott and the Texas Department of Insurance (TDI) asked Texas-regulated health plans to waive all costs associated with testing and telemedicine visits for the diagnosis of COVID-19. TDI...more
The Affordable Care Act (ACA) removed pre-existing condition barriers, defined a broad range of essential health benefits, and improved access to coverage and care for millions of people nationwide. However, the ACA has thus...more
Proposed State Health Plan Adjustments - A. PA2019-002, Vitality Senior Living Management, LLC, d/b/a Traditions of Athens, LLC: Proposes to add 32 specialty care assisted living facility beds pursuant to Section...more
I. Certificate of Need Program - A. AL2019-004, Fresenius Kidney Care Gadsden Acq, LLC, Gadsden, AL: Proposes to expand the existing ESRD facility by adding two (2) home dialysis training stations, for a total of...more
On April 18, 2019, Arizona Governor Doug Ducey signed a new law expanding insurance coverage for telehealth services, including asynchronous telemedicine and remote patient monitoring. The Arizona Legislature passed, nearly...more
This week, the General Assembly took action in moving forward substantial proposals dealing with health care, immigration, and school testing. The Governor announced a personnel policy change intended, in part, to reduce...more
I. Certificate of Need Program - A. AL2015-030, Lakeshore Foundation, Birmingham, AL: Proposes to construct a two-story addition containing patient rooms, a nursing station, a day room and a lobby area. The Hospital...more
I. September 2015 – Mississippi Certificate of Need Meeting - During the September 24, 2015, Certificate of Need meeting, Dr. Mary Currier, State Health Officer, concurred with the health and planning staff analysis...more
On June 29, 2015, the Federal Trade Commission (FTC) responded to a request for comment from two Minnesota state legislators concerning recently enacted amendments to the Minnesota Government Data Practices Act (MGDPA). Under...more