In late June, California’s Governor Newsom signed the California Health Care Quality and Affordability Act, establishing a new Office of Health Care Affordability (OHCA) within the Department of Health Care Access and...more
Cost growth benchmarking programs allow states to see a complete picture of total health care spending in their markets, and pinpoint cost drivers. They empower states with the information to exercise appropriate regulatory...more
Editor’s Note: Welcome to the Manatt State Cost Containment Update, a digital publication produced with generous support from the Robert Wood Johnson Foundation and developed in coordination with the Peterson-Milbank Program...more
As state leaders continue to grapple with unsustainable rates of health care cost growth, benchmarking programs have continued to proliferate across states as a strategy for better understanding health care cost drivers,...more
Editor’s Note: Welcome to the latest edition of the Manatt State Cost Containment Update, a digital publication produced with generous support from the Robert Wood Johnson Foundation and in collaboration with the...more
As states grow increasingly concerned with rising health care costs, establishing health care cost growth benchmarking programs can provide a structure and process for increasing health system transparency and developing...more
Learn How States Are Using Cost Growth Benchmarking to Increase Health System Transparency and Contain Rising Health Care Costs at a New Manatt Webinar.
As states grow increasingly concerned over soaring health care costs,...more
Examine the Evolving Challenges That Lie Ahead for Healthcare Stakeholders and State Regulators—and What You Can Do Now to Prepare and Protect Your Organization—at a New Manatt Webinar.
Effective health insurance...more
4/10/2020
/ Affordable Care Act ,
Appeals ,
Audits ,
Billing ,
Compliance ,
Coronavirus/COVID-19 ,
Cost-Sharing ,
Employee Retirement Income Security Act (ERISA) ,
Enrollment ,
Extensions ,
Grace Period ,
Health Claims ,
Health Insurance ,
Healthcare Costs ,
Medical Testing ,
Out of Network Provider ,
Preemption ,
Premiums ,
Reporting Requirements ,
Risk Adjustment Formula ,
Risk-Based Approaches ,
Scope of Coverage ,
Stakeholder Engagement ,
State Regulators ,
Tax Credits ,
Utilization Review ,
Waivers ,
Webinars
Editor’s Note: In a new toolkit prepared for the Robert Wood Johnson Foundation, summarized below, Manatt Health helps insurance regulators understand the wide range of transparency and competition strategies available to...more
3/5/2020
/ Anti-Competitive ,
Antitrust Provisions ,
Benefit Plan Sponsors ,
Competition ,
Cost-Sharing ,
Department of Health and Human Services (HHS) ,
Department of Insurance ,
Drug Pricing ,
Health Care Providers ,
Health Insurance ,
Healthcare Costs ,
Horizontal Mergers ,
Hospital Mergers ,
Medicaid ,
Medicare ,
Transparency ,
Vertical Mergers
The focus on healthcare cost containment has grown dramatically since Massachusetts enacted the first cost benchmarking program in 2012. Since the program’s inception, commercial spending growth in Massachusetts has dropped...more