Reports & Analysis

On November 1, 2012, the Centers for Medicare & Medicaid Services (CMS) released final regulations regarding a Medicaid primary care rate increase to Medicare levels for 2013 and 2014 – a provision that is intended to encourage greater provider participation in Medicaid. This technical assistance brief reviews the final regulatory language and identifies key questions and operational steps states should consider in implementing this provision.

This analysis provides national as well as state-by-state estimates of the impact of ACA on federal and state Medicaid costs, Medicaid enrollment, and the number of uninsured. Overall state costs of implementing the Medicaid expansion would be modest compared to increases in federal funds, and some states are likely to see small net budget savings.  

This Policy Update provides a summary of the final regulation released by the Centers for Medicare and Medicaid Services governing the implementation of the Medicaid primary care rate increase to Medicare levels for 2013 and 2014. It highlights select provisions for states to consider when planning implementation.

The ACA changes the small-group insurance market substantially beginning in 2014, but most changes do not apply to self-insured plans. This brief analyzes this exemption and the coverage decisions small-employers can make.

This memorandum, prepared by Manatt Health Solutions, reviews a State Medicaid Director Letter released by the Center for Medicaid and CHIP Services that provides additional guidance to states on Medicaid benchmark benefit coverage options for the new Medicaid adult group.

In this brief, Manatt Health Solutions assesses the proposed rules that will determine the benefits and costs of plans that will be offered through health insurance exchanges (Qualified Health Plans or QHPs) and for many plans sold outside of exchanges starting in 2014.

The U.S. Department of Health and Human Services (HHS) proposed regulations on November 20 that would implement the Affordable Care Act’s (ACA) dramatic reforms of the way health insurance is priced and sold in the individual and small group markets. This report analyzes the proposed rules and highlights areas in which HHS is seeking public comment.

Manatt Health Solutions has prepared a summary of the Department of Health and Human Services' Request for Information that identifies the quality-related provisions of the Affordable Care Act (ACA) pertaining to exchanges and solicits public comment on 15 questions.

This brief reports on the key provisions of HHS's Notice of Benefit and Payment Parameters for 2014. This proposed rule covers topics including the federal risk adjustment model, reinsurance parameters, cost-sharing reduction payment methodology, and user fees for insurers offering QHPs in federal exchanges.

On November 30 the U.S. Office of Personnel Management (OPM) released its proposed rules for the Multi-State Plan Program (MSPP) of the Affordable Care Act (ACA). This brief prepared by Manatt Health Solutions provides an overview of the key provisions of the proposed rule.