In quick succession, governors in Alaska and Utah announce Medicaid expansions this week; Iowa is transitioning its expansion away from the Marketplace to Medicaid managed care, for now; and, HHS extends its exception to...more
7/22/2015
/ Affordable Care Act ,
Burwell v Hobby Lobby ,
Centers for Medicare & Medicaid Services (CMS) ,
Contraceptive Coverage Mandate ,
Cost Allocation ,
Department of Agriculture ,
Department of Health and Human Services (HHS) ,
Eligibility ,
Employer Mandates ,
Enrollment ,
GAO ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare.gov ,
Hospitals ,
Medicaid ,
Medicaid Expansion ,
Medicare ,
OMB ,
Physicians ,
Proposed Legislation ,
Public Health Insurance Marketplace ,
Qualified Health Plans ,
SCOTUS ,
Tribal Governments
Topping the news, last week's King v. Burwell ruling preserved subsidies for the 6.7 million people receiving them through the federal marketplace.
In other news, President Obama pledged renewed efforts to work with...more
7/1/2015
/ Affordable Care Act ,
Chevron Deference ,
Department of Health and Human Services (HHS) ,
Health Insurance ,
Health Insurance Exchanges ,
King v Burwell ,
Medicaid ,
Medicaid Expansion ,
Public Health Insurance Marketplace ,
SCOTUS ,
Standard of Review ,
State Health Insurance Exchanges
This week...no clear consensus has emerged among congressional Republicans on how to manage potential King v. Burwell fallout; California will expand Medicaid to undocumented children; and New York is poised to become the...more
6/24/2015
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Cost-Sharing ,
Department of Homeland Security (DHS) ,
Health Insurance ,
Insurance Industry ,
Medi-Cal ,
Medicaid ,
Pregnancy ,
Public Health Insurance Marketplace ,
Reinsurance ,
Undocumented Immigrants
With the King v. Burwell ruling expected by the end of the month, Congressional Republicans continue to offer contingency plans in the event of a ruling for the plaintiffs; and the Mississippi Insurance Commissioner proposes...more
6/17/2015
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Health Insurance ,
Health Insurance Exchanges ,
Healthcare.gov ,
Insurance Commissioners ,
King v Burwell ,
Medicaid ,
Mitigation ,
Obama Administration ,
Penalties ,
Pending Legislation ,
Public Health Insurance Marketplace ,
SCOTUS ,
State Health Insurance Exchanges ,
Subsidies
With an eye toward the imminent King v. Burwell ruling, Delaware submits a Supported State-based Marketplace blueprint to CMS and South Carolina’s governor says the State will not establish a State-based Marketplace. In...more
States continue to prepare for a potential decision adverse to the government in King v. Burwell, with Pennsylvania submitting an application to be a supported State-based Marketplace; CMS releases information reflecting wide...more
Washington and Iowa report surges in insurer participation in Marketplaces for 2016; Maine considers legislation to maintain premium subsidies regardless of King v. Burwell.
KING V. BURWELL ACTIVITY:
Maine:...more
This week Montana became the 30th state to expand Medicaid, and the battle over Medicaid expansion and uncompensated care reached a breaking point in Florida. Meanwhile, as the King v Burwell decision looms, Congress and...more
5/6/2015
/ Affordable Care Act ,
Catholic Church ,
Contraceptive Coverage Mandate ,
Health Insurance ,
Health Insurance Exchanges ,
Healthcare Reform ,
Hospitals ,
King v Burwell ,
Medicaid ,
Medicaid Expansion ,
Medicaid Reform ,
Public Health Insurance Marketplace ,
SCOTUS
Arkansas broke new ground with its Marketplace Premium Assistance Medicaid expansion (widely referred to as the “Private Option”) last year, spurring additional states to consider the model. Under Marketplace Premium...more
This week, CMS proposes continued 90% funding for Medicaid eligibility and enrollment system development. Montana is on the verge of becoming the 29th state (plus D.C.) to expand Medicaid eligibility, and Florida Governor...more
4/22/2015
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Federal Grants ,
Governor Scott ,
Health Insurance ,
Healthcare Reform ,
King v Burwell ,
Legislative Agendas ,
Medicaid ,
Medicaid Expansion ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Physician SGR Formula ,
Public Health Insurance Marketplace
Although the official February 15th enrollment deadline has now passed, the 2015 open enrollment period isn’t over for the Federally-facilitated Marketplace (FFM) and many State-based Marketplaces (SBMs).While the FFM...more
Welcome to the first publication of the “Manatt on Health Reform: Weekly Highlights” newsletter. Many of you are familiar with the healthcare reform tracking efforts and weekly newsletters we produced for the KidsWell...more