Webinars | Jun 16, 2016

Webinar Series – Provider Networks and the ACA

Manatt Health

With insurers increasingly relying on new network design strategies to compete for Marketplace consumers, and state and federal regulators coming into closer alignment with regard to standards for network adequacy, an understanding of the issues surrounding provider networks and the Affordable Care Act is critical.  This three-part webinar series, presented by Manatt Health, addressed a variety of topics related to the regulation of provider networks, and may be of interest to officials from departments of insurance, marketplaces, Medicaid agencies, health departments, staff from gubernatorial and legislative offices, and staff from other agencies involved in health reform.

Session 1 – Overview of the State Role in Regulating Network Adequacy

Session 2 – Surprise Bills and the Challenge of Out-of-Network Billing

Session 3 – Role of Transparency for Regulators and Consumers

 

 

Expert Perspectives

August 11, 2022

Healthcare Provisions in the Inflation Reduction Act: Implications for States

On August 7, the U.S. Senate passed the Inflation Reduction Act (IRA), a $740 billion reconciliation package. The U.S. House of Representatives is expected to vote on the bill by August 12. This expert perspective describes the healthcare provisions included in the IRA, such as provisions to improve the affordability of healthcare for Medicare and Affordable Care Act (ACA) Marketplace enrollees. The expert perspective also describes several significant healthcare policies included in the House-passed Build Back Better Act that were left out of the Senate package.

August 5, 2022

Leveraging Section 1902(e)(14) Waiver Authority Amid Unwinding

The unwinding related section 1902(e)(14) strategies newly available to Medicaid and CHIP agencies can provide significant relief to states facing pending eligibility and enrollment actions and processing delays, workforce and systems limitations, and other operational challenges. Ensuring eligible individuals do not lose coverage for procedural or administrative reasons and supporting those who are ineligible for Medicaid/CHIP transition to Marketplace coverage will be paramount for all states as they begin to resume normal operations when the federal public health emergency (PHE) ends. This expert perspective outlines the time-limited targeted enrollment flexibilities that CMS has availed to states through section 1902(e)(14) waiver authority and discusses considerations beyond the strategies described in federal guidance and supplemental resources. This expert perspective has been updated as of August 5, 2022 to include reference to additional guidance released by the Centers for Medicare & Medicaid Services.