Affordable Care Act, Public Health Insurance Marketplace, Medicaid

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

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

HHS Proposes Repeal of Two Trump Administration Rules on Guidance, Enforcement, and Adjudication Procedures

King & Spalding on 10/26/2021

On October 20, 2021, HHS published in the Federal Register a proposal to repeal two final rules issued during the Trump administration. The final rules up for repeal are the “Department of Health and Human Services Good...more

President Biden Orders Special Enrollment Period for Federal Marketplaces and Review of Policies “Inconsistent” with ACA and...

King & Spalding on 2/5/2021

On January 28, 2021, President Biden signed the “Executive Order on Strengthening Medicaid and the Affordable Care Act” which, among other things, ordered a special enrollment period (SEP) for the federal Health Insurance...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

With 2020 race kicking into next gear, voters have lots to ponder on health care

Patrick Malone & Associates P.C. | DC Injury... on 6/25/2019

Starting this week in Miami, 20 Democrats over the course of two nights will try to make the case that they deserve to be elected President. Now what will they and Republicans have to say about health care, which voters have...more

Marketplace Roundup: Recent Federal Marketplace Activity Promotes State-Level Policymaking

Manatt, Phelps & Phillips, LLP on 5/3/2019

In late March, the Centers for Medicare & Medicaid Services (CMS) released its Marketplace open enrollment report showing that 11.4 million people selected Affordable Care Act (ACA) Marketplace plans in 2019—a 4% decline in...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

Senate Healthcare Bill Released for Public Review

Akerman LLP - Health Law Rx on 6/23/2017

Just over four weeks after the Congressional Budget Office (CBO) released its score of the American Healthcare Act (AHCA), the bill passed by a narrow margin in the U.S. House of Representatives, the U.S. Senate released ‘The...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

The 2017 Minnesota Legislature: What to Expect

Stinson LLP on 12/12/2016

The November general election obviously represents a sea change in how business will be conducted at the Minnesota state capitol when legislators return to work on January 3, 2017. House Republicans will enjoy a comfortable...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

Election Results Likely to Result in the End of the ACA as We Know It, But Employers and Plan Sponsors Should Stay the Course for...

Proskauer - Employee Benefits & Executive... on 11/10/2016

Over the past five years or so, Republican Congressmen have repeatedly taken steps to repeal President Obama’s landmark legislative effort – the Patient Protection and Affordable Care Act (the “ACA”). However, those efforts...more

Manatt on Health Reform: Weekly Highlights - November 2016

Manatt, Phelps & Phillips, LLP on 11/2/2016

Minnesota’s Governor and legislators propose financial assistance options for on- and off-Marketplace individual coverage; Vermont receives final federal approval for the country’s first all-payer ACO model; and a report...more

The 2016 Election and Your Healthcare System: What’s at Stake?

Manatt, Phelps & Phillips, LLP on 10/26/2016

Regardless of the 2016 general election outcome, a new administration will have to respond to pressing policy issues that will shape continued transformation of the U.S. healthcare system. What are the issues and where do...more

Manatt on Health Reform: Weekly Highlights - August 2016 #3

Manatt, Phelps & Phillips, LLP on 8/17/2016

CMS’s risk adjustment program data signals an improving risk pool while the agency announces plans to modify the program; California enrolls 134,000 undocumented immigrant children into Medicaid; and Oregon approves increases...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 Health Reform: Weekly Highlights - July 2016 #4

Manatt, Phelps & Phillips, LLP on 7/27/2016

CMS’ increase of the “income verification threshold” makes eligibility determinations easier for consumers; Oregon CO-OP policyholders can credit out-of-pocket spending towards new plans; and report finds that 13 million...more

New Affordable Care Act and Medicaid Regulations Will Require Covered Entities Providing Healthcare Programs and Services to Have...

Sheppard Mullin Richter & Hampton LLP on 7/18/2016

There has been a proliferation of ADA lawsuits alleging that websites are not accessible to the blind or deaf. Individuals who are blind or have low vision may require assistive devices and specialized software to access the...more

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