This program is part three of Manatt’s New Federal Rules on Medicaid Access and Managed Care webinar series.
After releasing sweeping proposed rules on Medicaid access and managed care in spring 2023, the Centers for...more
4/18/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Fee-for-Service ,
Final Rules ,
Health Care Providers ,
Home and Community Based Services (HCBS) ,
Home Health Care ,
MCOs ,
Medicaid ,
Provider Payments ,
Quality of Care Standards ,
Transparency ,
Webinars
In the United States, individuals are eligible for Medicare because they are aged 65 or older or because of their long-term disability status, and they are typically eligible for Medicaid because they have low income and few...more
On April 27, 2023, the Centers for Medicare & Medicaid Services (CMS) released proposed rules that, if finalized, would reshape Medicaid’s federal regulatory landscape in several ways, including with respect to home and...more
Over 12 million Americans are eligible for both Medicare and Medicaid, including roughly 7.5 million adults aged 65 and over and roughly 4.5 million people with disabilities under age 65. Many of these dual-eligible...more
Editor’s Note: Over the course of the COVID-19 public health emergency (PHE), a series of Medicare and Medicaid regulatory flexibilities were implemented to help ensure access to care for older adults and people with chronic...more
3/29/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Infectious Diseases ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Patient Access ,
Relief Measures ,
Telehealth
Editor’s Note: Since the start of the COVID-19 pandemic, federal and state policymakers have acted to preserve access to services for populations that use Medicaid-covered long-term services and supports (LTSS). These...more
3/8/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Home and Community Based Services (HCBS) ,
Infectious Diseases ,
Long-Term Care ,
Medicaid ,
Patient Access ,
Public Health Emergency
Background -
Since the start of the COVID-19 pandemic, federal and state policymakers have acted to preserve access to services for populations that use Medicaid-covered long-term services and supports (LTSS). These...more
3/1/2022
/ Coronavirus/COVID-19 ,
Elder Care ,
Federal Funding ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Home and Community Based Services (HCBS) ,
Infectious Diseases ,
Long Term Care Facilities ,
Long-Term Care ,
Medicaid
Editor’s Note: On March 11, 2021, President Biden signed the American Rescue Plan into law, enacting a sweeping $1.9 trillion COVID-19 relief package. The legislation includes a number of provisions that will significantly...more
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
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
The Big Picture -
On Sunday, March 22, the Centers for Medicare & Medicaid Services (CMS) released a suite of tools to help state Medicaid and Children’s Health Insurance Program (CHIP) agencies respond to the COVID-19...more
Editor’s Note: Dual eligibles—those eligible for both Medicare and Medicaid—are among the most costly and complex enrollees in both programs. Though they represent 20% of Medicare enrollees and 15% of Medicaid enrollees, they...more
Editor’s Note: Dual eligibles—those eligible for Medicare and Medicaid—are among the most costly and complex enrollees in both programs. Though they represent 20% of Medicare enrollees and 15% of Medicaid enrollees, they...more
Long-term services and supports (LTSS) enable more than 12 million people to meet their personal care needs and live with dignity and independence in a variety of community and institutional settings. With Medicaid LTSS...more
The Massachusetts Medicaid program, MassHealth, plays a critical role as a source of health insurance coverage in Massachusetts. It covers a broad range of residents of the commonwealth, including vulnerable populations such...more
Medicaid has entered a period of volatile change, unprecedented in its 51-year history.
With 74 million members nationwide,1 Medicaid provides health coverage to more than one in four Americans, ensuring access to...more
Low-income adults who need and use long-term services and supports (LTSS) are among the most complex, expensive, and fast-growing populations covered by Medicaid. The challenges of organizing and paying for this much needed...more
Securing the Safety Net for America's Vulnerable Populations -
Editor's Note: America's population is aging rapidly. By 2029, 75 million baby boomers will have reached age 65 and older, and older adults will represent...more
2/22/2017
/ Aetna ,
Affordable Care Act ,
Anthem Insurance ,
Antitrust Provisions ,
Caregivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
CIGNA ,
Department of Justice (DOJ) ,
FMAP ,
HCQIA ,
Health Insurance ,
Humana ,
Lead Poisoning ,
Medicaid ,
Medicare Advantage ,
Mergers ,
Opioid ,
Private Sector ,
Substance Abuse ,
Whistleblower Protection Policies ,
Whistleblowers
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
Background -
On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) released its final rule to overhaul the regulations governing Medicaid managed care (MMC). MMC has evolved significantly since the...more
Long-term services and supports (LTSS) enable hundreds of thousands of people of all ages in Massachusetts to live with independence and dignity, participate in their communities and increase their overall quality of life....more
Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace.
With the number of Americans obtaining...more
Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace.
With the number of Americans obtaining...more
Lessons From the Frontlines: Strategies for Supporting Informed Consumer Decision-Making in the Health Insurance Marketplace -
Editor's Note: As marketplaces prepare for the third open enrollment period, consumers are...more
7/23/2015
/ Admissions ,
Affordable Care Act ,
Anticompetitive Agreements ,
Attorney General ,
Biologics ,
Biosimilars ,
Caregivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Decision-Making Process ,
Department of Justice (DOJ) ,
DSRIP ,
FDA Approval ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Health Information Technologies ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Healthcare.gov ,
Home Health Care ,
Home Healthcare Workers ,
Hospitals ,
Long-Term Care ,
Medicaid ,
Medical Malpractice ,
Medicare ,
Medicare Part B ,
Nurses ,
Patient Rights ,
Physicians ,
Prescription Drug Coverage ,
Prescription Drugs ,
Public Health Insurance Marketplace ,
Qualified Health Plans ,
Settlement ,
Sherman Act ,
State Health Insurance Exchanges
Executive Summary -
The past decade marked an era of seismic change in the Massachusetts health care market and one in which the Commonwealth led the nation in coverage and delivery system reform. In 2006,...more