For states, managed care organizations, and providers—who all play a vital role in ensuring access to family planning services and supplies for the nearly 20 million women ages 18-44 enrolled in Medicaid1—the CIB reiterates...more
8/28/2024
/ Abortion ,
Best Practices ,
Centers for Medicare & Medicaid Services (CMS) ,
Contraceptives ,
Dobbs v. Jackson Women’s Health Organization ,
Family Planning Clinics ,
Health Insurance ,
Healthcare ,
Managed Care Contracts ,
Medicaid ,
New Guidance ,
Patient Access ,
Reproductive Healthcare Issues
Earlier this week, Governor Kathy Hochul released her Executive Budget proposal totaling $233 billion for State Fiscal Year 2025. The budget proposes several initiatives targeted at improving access to, quality of, and...more
1/23/2024
/ Abortion ,
Employee Benefits ,
Employees ,
Family Planning Clinics ,
Gender Identity ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
LGBTQ ,
Life Sciences ,
Medicaid ,
New Legislation ,
New York ,
Paid Family Leave Law ,
Patient Access ,
Pregnancy ,
Qualified Health Plans ,
Reproductive Healthcare Issues ,
State Budgets ,
State Funding ,
Wage and Hour ,
Women's Rights
From the end of the COVID-19 public health emergency (PHE) to the overturning of Roe v. Wade to the skyrocketing growth of virtual care, multiple forces are converging to remap the health care landscape. In a new webinar,...more
9/15/2023
/ Abortion ,
Children's Health Insurance Program (CHIP) ,
Continuous Coverage ,
Health Care Providers ,
Healthcare Reform ,
Inflation Reduction Act (IRA) ,
Legislative Agendas ,
Medicaid ,
Mental Health Parity Rule ,
No Surprises Act (NSA) ,
Non-Discrimination Rules ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Preventive Health Care ,
Provider Payments ,
Public Health Emergency ,
Regulatory Agenda ,
Reproductive Healthcare Issues ,
Roe v Wade ,
Shield Laws ,
Webinars
The Medicaid Market: A Huge and Growing Investment Opportunity -
Medicaid is a critical source of health care coverage for women in their childbearing years, covering 1 in 5, or 13 million, women of reproductive age and...more
On December 28, 2022, the New York State Office of the Medicaid Inspector General (OMIG) finalized the proposed rule published on July 13, 2022, that significantly revises the provider and Medicaid managed care organization...more
On July 13, 2022, the New York State Office of Medicaid Inspector General (OMIG) published proposed rules in the New York State Register to implement provisions of the State Fiscal Year 2020-2021 Enacted Budget and the...more
7/14/2022
/ Comment Period ,
Cooperative Compliance Regime ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
MCOs ,
Medicaid ,
Medicaid Reform ,
New York ,
OMIG ,
Proposed Regulation
Drivers of Health (DOH)—the conditions under which people live, learn, work, play and age—are proven to have a greater impact on health than medical care. As evidence mounts for the importance of DOH in driving health...more
5/12/2022
/ Continuing Legal Education ,
Financing ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
Medicaid ,
Medicare ,
Partnerships ,
Risk Mitigation ,
Social Services ,
Webinars
Examine the Immediate Issues and Opportunities Facing Long-Term Care Providers—and Look Ahead at How to Build a Stronger Future—at a New Webinar Series From Manatt Health.
The nation’s nursing homes, assisted-living...more
6/2/2020
/ Assisted Living Facilities (ALFs) ,
Coronavirus/COVID-19 ,
Crisis Management ,
Elder Care ,
Health Care Providers ,
Health Plan Sponsors ,
Healthcare Workers ,
Home Healthcare Workers ,
Inpatient Rehab Facilities ,
Long Term Care Facilities ,
Long-Term Care ,
Medicaid ,
Medicare ,
New Guidance ,
Nursing Homes ,
Patients ,
Webinars
Nursing homes and other post-acute healthcare providers have long been the focus of both government investigations and private plaintiffs focusing on quality of care, staffing and billing issues. Now that such facilities have...more
6/1/2020
/ Centers for Medicare & Medicaid Services (CMS) ,
Civil Liability ,
Criminal Liability ,
Department of Justice (DOJ) ,
Infectious Diseases ,
Long Term Care Facilities ,
Medicaid ,
Medicare ,
Nursing Homes ,
Public Health Emergency ,
Skilled Nursing Facility ,
State Health Departments
Caring for Recipients, Protecting the Workforce and Supporting Provider Sustainability -
Examine the Immediate Issues and Opportunities Facing Long-Term Care Providers—and Look Ahead at How to Build a Stronger Future—at a...more
5/26/2020
/ Assisted Living Facilities (ALFs) ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Elder Care ,
Executive Orders ,
Final Rules ,
FMAP ,
Funding Opportunities ,
Health Care Providers ,
Healthcare Workers ,
Home Healthcare Workers ,
Inpatient Rehab Facilities ,
Long Term Care Facilities ,
Long-Term Care ,
Medicaid ,
Medicare ,
New Guidance ,
Nursing Homes ,
Patients ,
Regulatory Burden ,
Relief Measures ,
Sustainability ,
Telehealth ,
Waivers ,
Webinars
On March 30, the Centers for Medicare & Medicaid Services (CMS) swept aside dozens of federal healthcare requirements using its emergency waiver authority under Section 1135 of the Social Security Act. The waivers—addressing...more
4/9/2020
/ 1135 Waivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Coronavirus/COVID-19 ,
Emergency Waivers ,
EMTALA ,
Healthcare ,
Long-Term Care ,
Medicaid ,
Medicare ,
Self-Referral ,
Social Security Act ,
Stark Law ,
Telehealth ,
Webinars
Recognizing significant changes in healthcare practice, especially innovations in the active management and ongoing care of chronically ill patients, and patients’ desire to avoid unnecessary doctor visits, the Centers for...more
Editor’s Note: In the past four months, the Government Accountability Office (GAO) and Office of the Inspector General (OIG) have issued a barrage of reports scrutinizing Medicaid programs and their oversight of program...more
The use of telemedicine services is growing nationwide as providers and payors seek to improve access and better manage patient care, while reducing health care spending. State laws and Medicaid1 policies related to...more
Balancing Gene Therapy’s Promise and Price -
Editor’s Note: Exciting advances in science have led to developing treatment breakthroughs, such as gene scripting therapies, that could represent the first potential cures...more
12/20/2016
/ Affordable Care Act ,
Anti-Kickback Statute ,
Civil Monetary Penalty ,
Final Rules ,
Healthcare Reform ,
Hospice ,
MCOs ,
Medicaid ,
Medicare ,
Non-Discrimination Rules ,
OCR ,
OIG ,
Safe Harbors ,
Telehealth
Section 1332 Waivers: Will We See More State Innovation? -
Editor's Note: In a new essay for the National Institute of Health Care Management (NIHCM), summarized below, Manatt Health examines Section 1332 waivers and the...more
8/25/2016
/ 1332 Waiver ,
Assisted Suicide ,
Customer-Loyalty Programs ,
Department of Health and Human Services (HHS) ,
Discounts ,
Dispute Resolution ,
False Claims Act (FCA) ,
Federal Trade Commission (FTC) ,
Long Term Care Facilities ,
Medicaid ,
Off-Label Promotion ,
Patient Privacy Rights ,
PHRMA ,
Prescription Drug Coverage ,
Section 340B ,
Unfair or Deceptive Trade Practices
The Vulnerability of Healthcare Information -
According to a report the Brookings Institute issued in May 2016, 23% of all data breaches occur in the healthcare industry. Nearly 90% of healthcare organizations had some...more
7/28/2016
/ Abortion ,
Affordable Care Act ,
Anti-Steering Rules ,
Antitrust Violations ,
Attorney's Fees ,
Bad Faith ,
Brandt Fees ,
Children's Health Insurance Program (CHIP) ,
Compensatory Damages ,
Contraceptive Coverage Mandate ,
Cybersecurity ,
Data Protection ,
Denial of Benefits ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Electronic Medical Records ,
Employee Retirement Income Security Act (ERISA) ,
False Claims Act (FCA) ,
False Implied Certification Theory ,
Federal Trade Commission (FTC) ,
Food and Drug Administration (FDA) ,
Gobeille v Liberty Mutual Insurance Com. ,
Health Care Providers ,
Health Insurance ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Justice Scalia ,
Market Power ,
Materiality ,
Medicaid ,
Medical Devices ,
Medicare ,
Nurses ,
OCR ,
Patient Privacy Rights ,
PHI ,
Preemption ,
Punitive Damages ,
Religious Institutions ,
Right to Privacy ,
SCOTUS ,
Undue Burden ,
Universal Health Services Inc v United States ex rel Escobar ,
Wearable Technology ,
Whole Woman's Health v Hellerstedt ,
Zubik v Burwell
Better Late Than Never: CMS Provides Much-Needed Clarity on the 60-Day Overpayment Refund Requirements -
On February 12, 2016, the Centers for Medicare & Medicaid Services (CMS) issued the long-awaited final rule (Final...more
2/26/2016
/ 60-Day Rule ,
ACOs ,
Affordable Care Act ,
Antitrust Violations ,
Centers for Medicare & Medicaid Services (CMS) ,
Certificate of Need ,
Health IT ,
Interstate Commerce ,
Knox Keene ,
License Agreements ,
Look-Back Measurement Period ,
Medicaid ,
Medicare Shared Savings Program ,
Overpayment Recovery Time Limits ,
Risk Allocation ,
Telehealth