The post-convention Congressional session in September is likely to focus on keeping the government funded past the end of the current federal fiscal year on September 30, with the next opportunity for substantive health...more
This overview is excerpted from Manatt on Health, Manatt’s subscription service that provides in-depth insights and analysis focused on the legal, policy and market developments....more
On July 12, CMS released a companion guide to the Ensuring Access to Medicaid Services final rule (the “Access Final Rule”). This technical guidance—which focuses on the provisions regarding fee-for-service (FFS) payment...more
On June 14, House Energy and Commerce Committee (E&C) Chair Cathy McMorris Rodgers published a “framework for discussion” proposing reforms to the National Institutes of Health (NIH)....more
On May 17, the Senate Finance Committee released a long-awaited white paper describing its legislative effort focused on bolstering chronic care through physician payment. Following a committee hearing April 11, the white...more
6/3/2024
/ Alternative Payment Models (APM) ,
Chronic Care Managment (CCM) ,
Fee-for-Service ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Medicare ,
Medicare Part B ,
Physician Fee Schedule ,
Provider Payments ,
Senate Finance Committee
Since becoming aware of the cyberattack on Change Healthcare in late February, the Centers for Medicare & Medicaid Services (CMS) has announced a number of flexibilities to support affected providers that have experienced...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
There is a critical need to increase access to evidence-based care for justice-involved pregnant people with a substance use disorder (SUD)—and connect them to continued coverage and care upon release—according to national...more
9/11/2023
/ American Medical Association ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Justice (DOJ) ,
Drug & Alcohol Abuse ,
Food and Drug Administration (FDA) ,
Health Insurance ,
Healthcare ,
Medicaid ,
New Guidance ,
Opioid ,
Patient Access ,
Pregnancy ,
Prisoners ,
Substance Abuse
At 11:59 p.m. on Thursday, May 11, 2023, the COVID-19 public health emergency (PHE) declaration will conclude, more than three years after taking effect in January 2020. The PHE declaration has enabled the U.S. Department of...more
On May 3, the Drug Enforcement Administration (DEA) issued a statement from Administrator Anne Milgram on COVID-19 telemedicine flexibilities for prescribing controlled substances in which the DEA noted that it has “decided...more
Since 2010, a reported 140 rural hospitals have closed their doors, including a record 19 hospitals in 2020 alone as a result of the financial pressures of COVID-19 compounded by many other long-standing challenges facing...more
Since 2010, a reported 140 rural hospitals have closed their doors, including a record 19 hospitals in 2020 alone. While many rural providers have always faced precarious financial situations caused by low patient volume and...more
The Biden Administration has announced that May 11, 2023, will be the final day of the COVID-19 public health emergency (PHE) declaration, which has been in effect since January 2020. Following the White House’s announcement...more
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 wrong direction. Of particular concern is that...more
Editor’s Note: In the article below, Manatt Health discusses the key policies in the “Mental Health Parity Improvements Act,” the latest draft legislation from the Senate Finance Committee’s bipartisan mental health...more
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 wrong direction. In the face of these...more
Editor’s Note: In a new survey, Manatt examines 340B anti-discrimination legislation in all 50 states. Highlights are below. For more information on accessing the full survey—available on its own or through a subscription to...more
The Big Picture -
On September 23, the Centers for Medicare & Medicaid Services (CMS) reopened the comment period for a November 2020 interim final rule (IFR) titled “Additional Policy and Regulatory Revisions in Response...more
On August 1, CMS released a State Medicaid Director letter (SMD) laying out a new option for states to cover “health home” services for Medicaid-eligible children and youth with medically complex conditions. This benefit was...more
This week, the House voted overwhelmingly in support of the Advancing Telehealth Beyond COVID-19 Act of 2022 (H.R. 4040). The legislation targets many of the key temporary Medicare telehealth flexibilities that are currently...more
In the two weeks following the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, the Biden Administration has taken several actions to provide clarity about women’s access to reproductive health...more
7/11/2022
/ Abortion ,
Department of Health and Human Services (HHS) ,
Dobbs v. Jackson Women’s Health Organization ,
EMTALA ,
Equal Protection ,
Healthcare ,
Healthcare Reform ,
New Guidance ,
OCR ,
Patient Access ,
Regulatory Agenda ,
Reproductive Healthcare Issues ,
Roe v Wade ,
SCOTUS
After weeks of negotiations and months of temporary stopgap funding bills since the federal fiscal year started in October 2021, on Tuesday, the President signed the Consolidated Appropriations Act, 2022, an omnibus funding...more
3/17/2022
/ Biden Administration ,
Controlled Substances ,
Federal Funding ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Medicare ,
New Legislation ,
Section 340B ,
Telehealth
As the Biden administration begins its second year in office, the administration remains focused on its core health policy agenda—advancing coverage, access and equity....more
2/4/2022
/ Biden Administration ,
Coronavirus/COVID-19 ,
Drug Pricing ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Infectious Diseases ,
Medicaid ,
Medicare ,
Public Health Insurance Marketplace ,
Surprise Medical Bills ,
Telehealth
The Big Picture -
On November 19, the House of Representatives passed the Build Back Better Act (BBB) (H.R. 5376) by a vote of 220–213. The BBB contains a number of health and social policy priorities that are widely viewed...more
12/8/2021
/ American Rescue Plan Act of 2021 ,
Biden Administration ,
Critical Infrastructure Sectors ,
Federal Budget ,
Federal Funding ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Home and Community Based Services (HCBS) ,
Low-Income Issues ,
Medicaid ,
Medicare ,
Pending Legislation ,
Popular ,
Prescription Drugs ,
Regulatory Agenda ,
Tax Credits
Last month, the Center for Medicare and Medicaid Innovation (the Innovation Center, or CMMI) released its long-anticipated white paper, “Innovation Strategy Center Refresh,” outlining the Innovation Center’s strategic outlook...more