Safety net hospitals play a vital role in serving marginalized communities, however, their efforts to advance health equity are undermined because in many states Medicaid payment rates do not cover costs. Though many states...more
On July 1, North Carolina announced a new plan to relieve past medical debt for low- and middle-income consumers and mitigate the impact of medical debt going forward. Under the proposal, hospitals that choose to implement...more
7/18/2024
/ Debt Collection ,
Financial Regulatory Reform ,
Financial Services Industry ,
Health Care Providers ,
Health Insurance ,
Medicaid ,
Medical Debt ,
North Carolina ,
Patients ,
Regulatory Agenda ,
State Medicaid Programs ,
Uninsured Patients
In September 2023, the Centers for Medicare and Medicaid Services (CMS) announced the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, and this week CMS is expected to make a first set of...more
7/5/2024
/ Budgets ,
Centers for Medicare & Medicaid Services (CMS) ,
Fee-for-Service ,
Health Care Providers ,
Health Insurance ,
Healthcare Facilities ,
Hospitals ,
Medicaid ,
Medicare ,
Revenue ,
Rural Health Care Providers
Executive Summary -
Health inequities are pervasive across the country, with the health and well-being of Americans too often diverging along racial and ethnic lines. While recent studies have identified many factors...more
On Monday, April 22, the Centers for Medicare & Medicaid Services (CMS) released two highly anticipated final rules. Together, these rules reshape the federal regulatory landscape for Medicaid and the Children’s Health...more
This program is part two of Manatt’s New Federal Rules on Medicaid Access and Managed Care webinar series.
After releasing sweeping proposed rules on Medicaid access and managed care in spring 2023, the Centers for...more
4/16/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Continuing Legal Education ,
Fee-for-Service ,
Final Rules ,
Health Care Providers ,
Home and Community Based Services (HCBS) ,
MCOs ,
Medicaid ,
Medical Loss Ratio ,
Provider Payments ,
Transparency ,
Webinars
The Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services (CMS) recently released initial specifications for its Medicare Hospital Global Budget methodology under the States Advancing...more
In 2020, Medicaid spent $220.8 billion on hospital care. Hospital care accounted for 33% of Medicaid spending.
Supplemental payments are critical for closing the gap between hospital costs and Medicaid reimbursement,...more
Join Manatt for Part One of a New Webinar Series Guiding You Through the Complexities of Care at Home—and Sharing Best Practices for Effective Delivery.
Health care is moving home. According to the Centers for Medicare &...more
Over the past 50+ years, there has been enormous progress in understanding the mechanisms that cause blood cancer. As a result, new and groundbreaking treatments have led to significantly improved blood cancer survival rates....more
The Centers for Medicare & Medicaid Services (CMS) has long acknowledged the disparities in care and outcomes affecting the one in five Americans who live in rural areas, as well as the financial challenges faced by rural...more
10/2/2020
/ Centers for Medicare & Medicaid Services (CMS) ,
CMMI ,
Fee-for-Service ,
Health Care Providers ,
Healthcare Reform ,
Hospitals ,
Medicare ,
Medicare Advantage ,
Public Health Emergency ,
Rural Health Care Program ,
Rural Health Care Providers ,
State Medicaid Programs
As the COVID-19 pandemic continues to progress, providers across the continuum of care are experiencing significant changes in utilization resulting in declining revenue and jeopardizing access to care. The federal government...more
On November 20, 2017, North Carolina submitted an amended 1115 waiver application to the Centers for Medicare & Medicaid Services (CMS) seeking authority to invest $1.2 billion over five years in a range of targeted...more
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
“Healthcare-Related” Calls: Ambiguity at the Intersection of HIPAA and TCPA -
Editor’s Note: The Federal Communications Commission (FCC) has established exemptions from certain requirements of the Telephone Consumer...more
11/21/2014
/ Business Associates ,
Covered Entities ,
Department of Health and Human Services (HHS) ,
Draft Guidance ,
Electronic Medical Records ,
FCC ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Hospitals ,
PHI ,
Physicians ,
Standard of Care ,
TCPA ,
Text Messages ,
Voicemail
The Federal Communications Commission (FCC) has established exemptions from certain requirements of the Telephone Consumer Protection Act (TCPA) for health care messages regulated under the Health Insurance Portability and...more