• 04.12.19

    Emerging Trends for Addressing Social Factors in Medicaid

    Medicaid programs are increasingly considering how best to address the social factors, such as housing, healthy food and economic security, that can affect health and medical expenditures. Often referred to as social determinants of health, these factors drive as much as 80 percent of population ...

  • 04.05.19

    Work Requirements Litigation

    On March 27, a federal judge vacated, for the second time, the Centers for Medicare & Medicaid Services’ approval of Kentucky’s Medicaid 1115 demonstration waiver to test, among other things, a work requirement as a condition of Medicaid eligibility. In a related case of ...

  • 03.20.19

    Strengthening Medicaid Long-Term Services and Supports

    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 expenditures of more than $154 billion annually and the aging population ...

  • 03.19.19

    Assessing the Regulatory Burden on Inpatient Psychiatric Facilities

    Inpatient psychiatric facilities operate under a heavy burden of federal regulatory requirements. In a new report commissioned by the National Association for Behavioral Healthcare, Manatt Health assesses the burden that certain federal laws and regulations impose on inpatient psychiatric ...

  • 03.15.19

    Risky Business? Sharing Data With Entities Not Covered by HIPAA

    The risky business of sharing data in and outside of the healthcare system is becoming more complicated, especially as consumer use of health applications and the desire to share health data increase exponentially. Current privacy laws were not created during the age of the internet, big data and ...

  • 03.07.19

    Health Plan Questions About Sharing Information During Opioid Crisis

    People eligible for both Medicare and Medicaid experience co-occurring substance use disorders and chronic pain at rates that are two to six times higher than those for Medicare-only beneficiaries or Medicaid-only adults with disabilities, which puts them at higher risk for opioid misuse or ...

  • 03.06.19

    Medicaid Briefing Series: Priority Issues for State Policymakers

    Medicaid is woven into the fabric of states’ healthcare systems and economies. Covering one in five Americans, the Medicaid program is the single-largest insurer in every state, and is the largest source of funding for mental health, substance use disorder, long-term care and emergency ...

  • 02.28.19

    Monitoring and Evaluating Medicaid Work and Community Engagement Requirements

    Under Section 1115 of the Social Security Act, the Secretary of Health and Human Services is permitted to waive certain federal Medicaid requirements to allow a state to undertake an experimental, pilot or demonstration project that is “likely to assist in promoting the objectives of” ...

  • 02.25.19

    Telehealth: A Path to Virtual Integrated Care

    How patients experience healthcare is shifting. Care that used to take place only in brick-and-mortar settings can now occur digitally. Accordingly, hospitals and health systems are exploring a variety of virtual care models, many of which are underpinned by telehealth technology.

  • 02.21.19

    Opioid Safety Toolkit for Health Plans

    The United States is in the midst of the worst drug crisis in its history. In 2017, nearly 50,000 Americans died of an opioid overdose, including more than 2,000 Californians. Addressing the epidemic requires responses from multiple sectors of the healthcare system.

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