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State Public Options: State of Play and Potential for Future Action

In recent years, state lawmakers have been considering and/or implementing policies to increase affordability for state consumers in the individual market. Since 2017, nearly a dozen states have considered or passed...more

Congress Passes American Rescue Plan; Health Coverage Provisions Could Have Lasting Impacts

On March 11, President Joe Biden signed an approximately $1.9 trillion COVID-19 relief bill—the American Rescue Plan Act of 2021 (American Rescue Plan). It includes myriad health care provisions, focused primarily in two...more

Investing in Health: Seven Strategies for States Looking to Buy Health, Not Just Health Care

Editor’s Note: In a new issue brief supported by the Blue Shield of California Foundation and the Commonwealth Fund, Manatt Health—in partnership with The Health Initiative—presents strategies for how states can buy health,...more

What’s Ahead for Health Policy in 2021

The Big Picture - The Biden Administration is just two weeks old, and President Biden has already issued more than two dozen Executive Orders on racial justice, health equity, strengthening Medicaid and the Affordable...more

Investing in Health: A Federal Action Plan

Editor’s Note: Manatt Health and The Health Initiative have released a new white paper—funded by Blue Shield of California Foundation and the Commonwealth Fund—outlining options for the Centers for Medicare & Medicaid...more

Oregon Public Option Report: An Evaluation and Comparison of Proposed Delivery Models

Section 9 of Senate Bill 770 (SB 770), signed into law in 2019, directed the state of Oregon to engage in an analysis to help policymakers develop policy around a public option or Medicaid buy-in model for Oregon. The goal of...more

What a Supreme Court Vacancy Could Mean for the ACA

On November 10, the Supreme Court is scheduled to hear oral arguments in California v. Texas—formerly referred to as Texas v. United States—a case challenging the constitutionality of the Affordable Care Act (ACA). The...more

Candidates Continue to Outline Their Healthcare Policy Objectives as the Election Nears

Last month, both parties held their 2020 conventions. In addition to the pageantry associated with formally nominating the presidential candidate, conventions have traditionally served as a time to solidify the party platform...more

House Passes the Heroes Act

On May 15, the House of Representatives passed the Health and Economic Recovery Omnibus Emergency Solutions (Heroes) Act (H.R. 6800, as amended by a manager’s amendment) along mostly party lines (208–199). While Senate...more

ACA 10th Anniversary Infographic

Today, March 23, 2020, marks the ten-year anniversary of the Affordable Care Act (ACA) being signed into law. Despite multiple judicial challenges, congressional action to halt key provisions, and unsuccessful attempts to...more

Implementing a Statewide Healthcare Cost Benchmark: How Oregon and Other States Can Build on the Massachusetts Model

State interest in healthcare cost containment has grown dramatically since Massachusetts enacted the nation’s first cost benchmarking program in 2012. At that time, most states were focused on coverage expansion through the...more

Georgia Releases Section 1332 and 1115 Waivers

On November 4, Georgia released two draft waiver applications for public comment—a Section 1332 State Relief and Empowerment Waiver (“1332 waiver”) to restructure the state’s individual insurance market and a Section 1115...more

With 2020 in View, Democrats Outline Healthcare Reform Positions

As the 2020 elections near, federal and state policymakers are sharpening their plans for healthcare reform—an issue that proved important to voters in the 2018 midterm elections and is on track to be a core issue in the 2020...more

Marketplace Roundup: Recent Federal Marketplace Activity Promotes State-Level Policymaking

In late March, the Centers for Medicare & Medicaid Services (CMS) released its Marketplace open enrollment report showing that 11.4 million people selected Affordable Care Act (ACA) Marketplace plans in 2019—a 4% decline in...more

State Medicaid Buy-Ins: Key Questions to Consider

Lawmakers across the country are considering “Medicaid buy-in” programs to stabilize the Affordable Care Act insurance market and offer a coverage option that is more affordable and accessible than current options in the...more

Medicaid Briefing Series: Priority Issues for State Policymakers

Issue 1 - The Issue - Medicaid is woven into the fabric of states’ health care systems and economies: it covers one in five Americans; is the single largest insurer in every state; and is the largest source of funding...more

Medicaid Buy-In and Public Option: The State of Play

Lawmakers across the country are proposing legislation to stabilize the Affordable Care Act (ACA) insurance market, make coverage more affordable for consumers, and improve access to care by leveraging the bargaining power...more

The Landscape of Federal and State Healthcare Buy-In Models

Across the country, policymakers, healthcare stakeholders and consumer advocates are motivated to expand affordable coverage, with the overarching goals of lowering the uninsured rate, addressing affordability and access to...more

CMS Promotes New 1332 Waiver Models, States Weigh Options

With a divided Congress that will struggle to reach agreement about major health policy legislation, states will continue to serve as the drivers and testing ground for new healthcare reforms in at least the next two years....more

A Promising Strategy for an Affordable Medicaid Buy-In Option in Colorado

In order to address rising costs and continued uncertainty in the individual insurance market, states are beginning to explore offering alternative coverage options to residents in need of premium and cost-sharing relief. One...more

Health Update - February 2018

Hospitals and Health Systems Prepare for a Value-Based Future - Editor’s Note: Hospitals and health systems are actively working to service their communities in numerous ways, including through the adoption of initiatives...more

Trends in Medicare Part D Benefit Design and Cost Sharing for Adult Vaccines, 2015–2017

Vaccination utilization among U.S. adults is low, and well below the Healthy People 2020 Targets, despite widespread availability of safe and effective vaccines and long-standing use recommendations by the Centers for Disease...more

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