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

November 17, 2022

Communicating the PHE Unwinding: How States Are Conducting Outreach and Planning

At the end of the federal public health emergency, states will need to redetermine eligibility for nearly all Medicaid enrollees in the largest healthcare event since the Affordable Care Act. In order to avoid potential coverage losses, states will need to communicate with enrollees and other stakeholders about the actions they need to take to keep individuals enrolled in Medicaid or transition to another form of health coverage. One way that states are promoting transparency in their communications and planning efforts is through the public release of their unwinding operational plans. This expert perspective highlights several states that have made their unwinding operational plans publicly available as well as examples of states’ ongoing communication efforts, including outreach campaigns to Medicaid enrollees, strategies for collaborating with stakeholders, and collaborative initiatives within Marketplace states. This expert perspective has been updated as of November 17, 2022 to reflect recently released state unwinding operational plans.