• 11.01.18

    How APCDs Can Support Insurance Regulation

    From Utah and Oregon to Maine and Massachusetts, state insurance departments across the country are exploring how All Payer Claims Databases (APCDs) can be used to support and enhance insurance regulation.  APCDs are large and developing data assets that promise states new capacity for ...

  • 08.17.18

    Work and Community Engagement Requirements in Medicaid

    In January 2018, the Centers for Medicare & Medicaid Services (CMS) issued guidance to states as to the circumstances under which CMS would approve Section 1115 demonstration waivers making work/community engagement (CE) requirements a condition of Medicaid eligibility. Since then, CMS has ...

  • 07.18.18

    Overcoming Data-Sharing Challenges in the Opioid Epidemic

    The opioid epidemic has prompted efforts across the country to increase the availability of substance use disorder (SUD) treatment. Through medication-assisted treatment programs and other efforts, primary care practices have taken a more prominent role in providing care for patients with SUD. The ...

  • 06.20.18

    How Medicaid Expansion Affects Montana’s Budget, Economy, and Residents

    In an analysis funded by the Montana Healthcare Foundation, Manatt Health found that Montana’s Medicaid expansion had positive impacts on the state’s budget and healthcare economy, as well as helped promote a healthier population. Montana’s Medicaid expansion saved the state in ...

  • 06.20.18

    Sharing Behavioral Health Information Amid the Opioid Crisis

    As the old model of patient care silos—where behavioral health providers treat patients separately from the rest of the healthcare system—breaks down, participants from across healthcare are attempting to access patient-specific behavioral health data to create integrated care models. ...

  • 06.20.18

    Using Skilled Nursing Facility Placement to Generate PAC Savings

    The aging population is putting intense financial and operational pressure on the healthcare system, especially for post-acute care (PAC).

  • 06.19.18

    Medicaid Managed Care Rate Setting and Payment Innovation Study

    As of February 2018, Maryland’s Medicaid managed care program, HealthChoice, provides coverage to approximately 1.2 million people.

  • 06.14.18

    NYC PHIP Small Practice Project, Final Report

    Primary care practices in New York face pressure from payers and regulators to transition to a medical home model and to participate in value-based payment (VBP) contracts. The changes require increased operating costs in a way that is particularly onerous for small primary care practices, which ...

  • 06.01.18

    Medicaid Work Requirements: Policy and Practical Considerations

    In January 2018, the Centers for Medicare & Medicaid Services (CMS) issued guidance setting forth the standards it will apply in granting state waivers conditioning Medicaid eligibility on compliance with work and community engagement requirements. Thereafter, it approved section 1115 waivers ...

  • 05.16.18

    Medicaid Buy-in: State Options, Design Considerations and 1332 Implications

    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 12.2 million. States continue to identify and pursue strategies to further ...

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