In 2021, drug-related overdose deaths topped 107,000. Despite a nearly 50% decrease in opioid prescribing over the past decade, drug overdose mortality continues to trend in the opposite direction. In particular, drug-related...more
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
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
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
President Biden set an ambitious health care agenda in his campaign and maintained that focus as he took office. The Biden administration has expressed a strong commitment to “protect and build on the Affordable Care Act,...more
2/16/2022
/ Alternative Payment Models (APM) ,
Biden Administration ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Drug Pricing ,
Health Care Providers ,
Health Insurance ,
Health Plan Sponsors ,
Healthcare Reform ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Medicare Beneficiaries ,
Physicians ,
Public Health Emergency ,
Public Health Insurance Marketplace ,
Surprise Medical Bills ,
Telehealth ,
Webinars
The nation’s overdose and death epidemic continues to get worse, but policymakers and other stakeholders have yet to fully embrace evidence-based solutions to help those with a substance use disorder (SUD), patients with pain...more
1/24/2022
/ American Medical Association ,
Centers for Disease Control and Prevention (CDC) ,
Continuing Legal Education ,
Drug & Alcohol Abuse ,
Health Care Providers ,
Mental Health ,
Mental Health Parity Rule ,
Pain Management ,
Physicians ,
Substance Abuse ,
Suicide ,
Webinars
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...more
8/2/2021
/ Best Practices ,
Cancer ,
Health Care Providers ,
Health Insurance ,
Health Plan Sponsors ,
Insurance Regulations ,
Out of Network Provider ,
Out-of-Pocket Expenses ,
Patient Access ,
Physicians ,
State Health Plans ,
Webinars
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
How Can Mental Health and Substance Use Disorder (SUD) Parity Laws Help Battle the Overdose Epidemic? Learn the Answers—and Catch Up on the Most Recent State and Federal Developments—at a New Webinar from the AMA and...more
1/14/2021
/ Best Practices ,
Department of Insurance ,
Enforcement ,
Health Care Providers ,
Health Insurance ,
Insurance Commissioners ,
Insurance Industry ,
Medicaid ,
Mental Health ,
Mental Health Parity Rule ,
MHPAEA ,
NAIC ,
NQTLs ,
Opioid ,
Pharmaceutical Industry ,
Physicians ,
Prescription Drugs ,
Regulatory Oversight ,
Self-Insured Health Plans ,
State Insurance Administrations ,
Substance Abuse ,
Webinars
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
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
With the number of opioid deaths six times higher in 2017 than in 1999, the opioid epidemic is continuing its rampage across the country. What can be done to solve the epidemic? What steps have states taken that are showing...more