• 11.12.19

    Expanding Payer and Provider Participation in Data Exchange

    States have struggled for decades to establish infrastructure that allows for the efficient and secure sharing of health information, despite it being associated with improved quality and reduced duplicative services and associated costs. California has made some progress, including the growth of ...

  • 11.11.19

    Evaluation of Medicaid Demonstrations under New CMS Guidance

    The Centers for Medicare & Medicaid Services (CMS) has formalized and strengthened requirements for evaluation of state Section 1115 Medicaid demonstrations, including new demonstration programs being permitted by the current administration that are both unprecedented and controversial. The ...

  • 10.25.19

    Public Charge Final Rule: Frequently Asked Questions

    On August 12, 2019, the U.S. Department of Homeland Security (DHS) issued the final version of its public charge rule, which was slated to go into effect on October 15 but is currently subject to a nationwide preliminary injunction. The rule changed how DHS determines whether ...

  • 10.15.19

    Comprehensive 50-State Survey: State Medicaid Programs and 340B

      Lead Author: Helen R. Pfister, Partner, Manatt Health To help you manage effectively through the intricacies of 340B, Manatt Health has developed a 50-state survey on 340B, analyzing how states reimburse 340B covered entities and contract pharmacies for 340B drugs, and the ...

  • 10.01.19

    Keeping Medicaid’s Promise: Strengthening Access to Services for Children With Special Healthcare Ne

    Medicaid covers about half of all children with special healthcare needs in the U.S., playing a central role in addressing the complex physical and behavioral challenges of this particularly vulnerable population.

  • 09.11.19

    A Framework for Evaluating the ROI of Telehealth

    Healthcare providers are increasingly investing in and deploying telehealth capabilities that will extend services to patients in rural areas, deliver quality care to individuals with complex conditions and reduce costs associated with unnecessary emergency department usage, among other benefits.

  • 09.01.19

    Leveraging Medicaid to Establish Meaningful Healthcare Connections for Justice-Involved Populations

    States are exploring opportunities to engage justice-involved populations—including juveniles and adults—in Medicaid coverage, case management and healthcare, both immediately prior to and following their release from prison or jail. 

  • 06.18.19

    Leveraging Medicaid and CHIP to Transform Pediatric Care

    Nearly half of children under age 3 in the United States get their health insurance through Medicaid and the Children’s Health Insurance Program (CHIP).

  • 05.22.19

    Enhancing Access to Family Planning Services in Medicaid

    Medicaid is the primary source of family planning coverage in the United States, accounting for 75 percent of total public expenditures for family planning services.

  • 05.22.19

    Federal Guidance on Monitoring and Evaluating Work Requirements

    In March 2019, the Centers for Medicare & Medicaid Services (CMS) issued detailed guidance for states on the monitoring and evaluation of “eligibility and coverage” Section 1115 Medicaid demonstrations. The new guidance provides standard monitoring metrics and recommended research ...

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