Affordable Care Act, Healthcare Reform, 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

Innovative 1332 Waivers Proceed in Colorado and Washington

Manatt, Phelps & Phillips, LLP on 6/29/2022

The Biden administration gave its stamp of approval last week to Colorado’s novel waiver under Section 1332 of the Affordable Care Act (ACA) to require premium reductions in a public option program, a first-of-its-kind plan...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

The State of Play: A Midyear Update on the Public Option at the Federal and State Levels

Manatt, Phelps & Phillips, LLP on 7/12/2021

In a new “Expert Perspective” prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, Manatt Health provides a midyear update on the public option at the federal and state levels. ...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

Could new Individual Coverage HRAs replace your group health plan?

Bricker Graydon LLP on 2/7/2020

Employers and employees are continually feeling the pinch of rising health care costs. 2020 provides a potentially better approach to consider: Individual Coverage Health Reimbursement Arrangements (ICHRAs)....more

DOL Regulations on Association Health Plans: How Will They Affect the Health Insurance Marketplace?

Bradley Arant Boult Cummings LLP on 10/16/2018

Last year, the President issued an Executive Order directing the Secretary of the Department of Labor (DOL) to issue regulations to expand access to association health plans (AHPs). Earlier this year, the DOL issued final...more

Clean Up on Aisle 12! The Obamacare Pop-Up Store is Open but Stocks are Limited

Sheppard Mullin Richter & Hampton LLP on 11/6/2017

The fifth Open Enrollment period under the Affordable Care Act (ACA) started on November 1st, and will continue for a scant 45 days ending on December 15, 2017. This year, not only has the Open Enrollment been cut in half,...more

Back in the Spotlight: The Affordable Care Act Again Takes Center Stage

Ballard Spahr LLP on 10/19/2017

After a brief lull in activity, recent developments are likely to involve all three branches of government in addressing issues under the Affordable Care Act....more

Trump Administration Takes Aim at ACA With AHP Executive Order

Sheppard Mullin Richter & Hampton LLP on 10/16/2017

Thursday, October 12th, on the heels of the recent and repeated failures to repeal and replace the Affordable Care Act (“ACA”), President Donald Trump signed an executive order nominally aimed at increasing competition in the...more

Trump Administration Pulls the Plug on CSR Payments

Sheppard Mullin Richter & Hampton LLP on 10/16/2017

After months of veiled threats, President Trump formally announced that his Administration will cease funding Cost-Sharing Reduction (“CSR”) payments, a key component of the Affordable Care Act (“ACA”) intended to help...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

Updated Health Care Reform Legislation Comparison Chart

Proskauer - Employee Benefits & Executive... on 7/15/2017

The chart below compares key provisions of the Affordable Care Act (ACA), the American Health Care Act (AHCA) and the Better Care Reconciliation Act (BCRA). This chart is current as of July 13, 2017, and as of that date,...more

Congress Returns for June Session to Face AHCA, User Fees and More

Mintz - Health Care Viewpoints on 6/5/2017

Congress returns from its Memorial Day recess to four full weeks of legislative activity. The drama of the American Health Care Act (AHCA) now hangs over the Senate. The House will return to its regular work once they advance...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

HHS Expresses Interest in Pre-Existing Condition Exclusions

Littler on 2/17/2017

In proposed regulations published on February 17, 2017, the U.S. Department of Health and Human Services (HHS) has suggested several adjustments designed to help stabilize the individual health insurance market – particularly...more

Health Care Reform in Transition While Congress Deliberates

Ballard Spahr LLP on 1/20/2017

Changes are imminent for the Affordable Care Act and a range of other laws and regulations affecting the health care industry. Ballard Spahr attorneys established a Health Care Reform Initiative in 2008 to monitor and analyze...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

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

Manatt, Phelps & Phillips, LLP on 8/10/2016

CMS targets Medicaid managed care pass-through payments; California proposes “California Qualified Health Plans” for the undocumented; and a new study finds out-of-pocket costs were reduced by nearly a third for Medicaid...more

Manatt on Health Reform: Weekly Highlights - August 2016

Manatt, Phelps & Phillips, LLP on 8/3/2016

Oregon’s hospitals see improved financial performance following the ACA; CMS denies Indiana’s request for an additional lockout period in the Medicaid expansion program; and a new Manatt Health report details Medicaid funding...more

Manatt on Medicaid: Medicaid at 50—The Program’s Evolution and Future

Manatt, Phelps & Phillips, LLP on 10/27/2015

Editor’s note: Born as an afterthought to Medicare five decades ago, Medicaid has evolved from an adjunct to state welfare programs into the nation’s largest health insurer. Medicaid’s 50th birthday is a fitting time to...more

Manatt on Health Reform: Weekly Highlights - October 2015 #3

Manatt, Phelps & Phillips, LLP on 10/21/2015

Arizona seeks Medicaid Waiver to implement new coverage restrictions for Medicaid expansion enrollees and delivery system reform; Tennessee’s uninsured rate continues to drop; and Louisiana gubernatorial candidates line up...more

Manatt on Health Reform: Weekly Highlights - October 2015 #2

Manatt, Phelps & Phillips, LLP on 10/14/2015

Iowa's largest insurer joins the State's Marketplace for coverage year 2017; carrier changes are announced for Marketplaces in Kentucky, Oklahoma and Wyoming; and South Dakota's Governor convenes the Health Care Solutions...more

Patient Protection and Affordable Care Act (PPACA) › Healthcare Reform › Public Health Insurance Marketplace

"My best business intelligence, in one easy email…"