Medicaid, Public Health Insurance Marketplace

Emerging Opportunities for State-Based Marketplaces (SBMs)

Manatt, Phelps & Phillips, LLP on 4/23/2024

The Affordable Care Act (ACA) Marketplaces have nearly tripled their enrollment in their first decade of operation, from eight million people in 2014 to 21.4 million in 2024. At the national level, the ACA has helped cut the...more

CMS Outlines Strategy to Advance Health Equity

King & Spalding on 4/29/2022

Pursuant to Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, federal agencies and departments, including HHS, have recently released their plans to advance...more

Treasury Releases Proposal to Address ‘Family Glitch’ as Biden Administration Touts Coverage Gains

Manatt, Phelps & Phillips, LLP on 4/7/2022

On April 5, President Biden held an event at the White House celebrating coverage gains since the enactment of the Affordable Care Act (ACA). Joined by Vice President Harris and former President Obama, President Biden...more

[Webinar] Levers of Change: Remapping the Health Care Landscape - March 9th, 1:00 pm - 2:00 pm ET

Manatt, Phelps & Phillips, LLP on 2/16/2022

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

What’s Ahead for Federal Health Policy in 2022

Manatt, Phelps & Phillips, LLP on 2/4/2022

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

HHS Proposes Repeal of Two Trump Administration Rules on Guidance, Enforcement, and Adjudication Procedures

King & Spalding on 10/26/2021

On October 20, 2021, HHS published in the Federal Register a proposal to repeal two final rules issued during the Trump administration. The final rules up for repeal are the “Department of Health and Human Services Good...more

DOL Issues Model Notices and FAQs for COBRA Subsidy

Williams Mullen on 4/12/2021

As described in our previous alert, the American Rescue Plan Act of 2021 (the ARPA), provides a full subsidy for COBRA premiums for certain qualified beneficiaries entitled to COBRA continuation coverage from April 1, 2021,...more

President Biden Orders Special Enrollment Period for Federal Marketplaces and Review of Policies “Inconsistent” with ACA and...

King & Spalding on 2/5/2021

On January 28, 2021, President Biden signed the “Executive Order on Strengthening Medicaid and the Affordable Care Act” which, among other things, ordered a special enrollment period (SEP) for the federal Health Insurance...more

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

Manatt, Phelps & Phillips, LLP on 12/22/2020

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

Technology Opportunities for the ACA Marketplaces

Manatt, Phelps & Phillips, LLP on 12/17/2020

Technological innovation has always been at the center of the Affordable Care Act (ACA) Marketplaces and has never been more important than it is now. Changes brought on by the coronavirus pandemic have clearly illustrated a...more

With 2020 race kicking into next gear, voters have lots to ponder on health care

Patrick Malone & Associates P.C. | DC Injury... on 6/25/2019

Starting this week in Miami, 20 Democrats over the course of two nights will try to make the case that they deserve to be elected President. Now what will they and Republicans have to say about health care, which voters have...more

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

Manatt, Phelps & Phillips, LLP on 5/3/2019

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

Medicaid Buy-In: State Options, Design Considerations and Section 1332 Waiver Implications

Manatt, Phelps & Phillips, LLP on 5/17/2018

During the open enrollment period for the 2018 plan year, approximately 11.8 million people enrolled in marketplace coverage and 74 million people enrolled in Medicaid, bringing the United States’ uninsured rate to 12.2¹....more

Manatt on Health: What’s Ahead in 2018

Manatt, Phelps & Phillips, LLP on 1/11/2018

Congress returned from recess with a large agenda for the new year. The federal government is only funded through January 19 and the next funding bill is expected to carry with it longer-term extensions of the Children’s...more

ML Strategies Outlook: Health Care

Mintz - ML Strategies on 1/8/2018

“We’re going to have to get back next year at entitlement reform, which is how you tackle the debt and the deficit” Paul Ryan, Speaker of the House. Happy New Year!?! - 2017 was an eventful year for health care, and...more

OIG Work Plan – September 2017 Update

Baker Donelson on 9/27/2017

Beginning in June 2017, the OIG began making monthly Work Plan updates. These monthly updates create some practical challenges for health care providers and compliance professionals trying to make operational and compliance...more

Fractal Geometry, Actuarial Risk, and §1332 Waivers—The Role of the States in Reforming Health Care

Mintz - Employment Viewpoints on 9/25/2017

At this writing, the prospects for success of the latest Republican effort to replace the Affordable Care Act appear bleak — but the Graham-Cassidy bill on which the GOP has pinned its last-ditch hopes highlights a major...more

Senate Healthcare Bill Released for Public Review

Akerman LLP - Health Law Rx on 6/23/2017

Just over four weeks after the Congressional Budget Office (CBO) released its score of the American Healthcare Act (AHCA), the bill passed by a narrow margin in the U.S. House of Representatives, the U.S. Senate released ‘The...more

Health Care Reform Weekly Roundup – Issue 2

Proskauer - Employee Benefits & Executive... on 5/25/2017

Below are key health care reform developments from the week of May 15th: ACA Repeal Efforts. Efforts to repeal and replace the Affordable Care Act (ACA) continue despite slowing down as the House of Representatives’...more

ACA repeal without replacement negatively impacts Mississippians

Bradley Arant Boult Cummings LLP on 2/20/2017

During my career as a health lawyer, I have presented both sides of an issue to clients. When the Affordable Care Act was enacted in March 2010, I spoke to various audiences explaining the provisions and impact on their...more

The 2017 Minnesota Legislature: What to Expect

Stinson LLP on 12/12/2016

The November general election obviously represents a sea change in how business will be conducted at the Minnesota state capitol when legislators return to work on January 3, 2017. House Republicans will enjoy a comfortable...more

The Trump Administration: The Future of Health Care

Cadwalader, Wickersham & Taft LLP on 12/7/2016

The election of Donald J. Trump as the 45th President of the United States, along with the Republican control of the majority of both the House of Representatives and the Senate, will likely set in motion a major overhaul of...more

Election Results Likely to Result in the End of the ACA as We Know It, But Employers and Plan Sponsors Should Stay the Course for...

Proskauer - Employee Benefits & Executive... on 11/10/2016

Over the past five years or so, Republican Congressmen have repeatedly taken steps to repeal President Obama’s landmark legislative effort – the Patient Protection and Affordable Care Act (the “ACA”). However, those efforts...more

Manatt on Health Reform: Weekly Highlights - November 2016 #2

Manatt, Phelps & Phillips, LLP on 11/9/2016

CMS authorizes Massachusetts waiver supporting transition to a Medicaid ACO model; Oregon CCOs use “flexible service” funds to invest in housing-related services; and enrollment for 2017 Marketplace coverage begins....more

Manatt on Health Reform: Weekly Highlights - November 2016

Manatt, Phelps & Phillips, LLP on 11/2/2016

Minnesota’s Governor and legislators propose financial assistance options for on- and off-Marketplace individual coverage; Vermont receives final federal approval for the country’s first all-payer ACO model; and a report...more

Medicaid › Public Health Insurance Marketplace

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