What’s the Leading Cause of Accidental Deaths?

Deaths From Opioid-Related Overdoses Now Surpass Other Leading Causes of Accidental Deaths. On World Health Day, Let’s Join Forces to End the Epidemic. Deaths due to opioid-related overdoses, including prescription opioids, other synthetic opioids and heroin, reached almost 50,000 in 2017—and have now exceeded other leading causes of accidental death, including car crashes (37,133) and […]

Influencer and Content Marketing: Challenges and Opportunities for Healthcare

Discover how healthcare organizations can harness the power—and avoid the pitfalls—of influencer marketing and native advertising, in a new Manatt webinar. Click here to register free—and earn CLE. More than 93 million Americans—80% of Internet users—have searched online for a health-related topic, such as a particular medical treatment, doctor, hospital or health insurance.1 In response, […]

Manatt Wins First-Impression Decision on Medical Loss Ratio

Manatt Defeats Putative Class Action in Federal Appeals Decision Interpreting the ACA’s Medical Loss Ratio Provision On March 18, 2019, the Ninth Circuit affirmed the dismissal of a lawsuit brought against Manatt client Blue Shield of California. The Manatt team working on the case included partners Gregory Pimstone, Craig Bloomgarden, Michael Kolber and Joanna McCallum. […]

New Medicare Advantage Tools Address Social Determinants of Health

Social determinants of health (SDOH) are conditions in the environments in which people are born, live, learn, work, play, worship and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. There is increasing evidence that these nonclinical and social factors play a role in people’s health that is as important […]

Manatt on Health: Medicaid Edition

New estimates from Manatt Health indicate that Michigan’s Medicaid work requirement, scheduled to take effect January 1, 2020, could cause up to 27% of the state’s Medicaid expansion population to lose coverage within a year—an estimated 183,000 out of 680,000 people enrolled in the Healthy Michigan Plan (HMP). In 2018, then-Governor Rick Snyder (R) signed legislation requiring […]

Medicaid Buy-In and Public Option: The State of Play

Lawmakers across the country are proposing legislation to stabilize the Affordable Care Act (ACA) insurance market, make coverage more affordable for consumers, and improve access to care by leveraging the bargaining power and administrative savings of public programs. Often referred to as “buy-ins” or “public options,” these programs vary in their design, depending on policy […]

Health Update

1. ACOs, IPAs, CINs, PHOs: Legal Issues Behind the Acronyms Editor’s Note: There is considerable overlap in the nature and goals of the “alphabet soup” of network structures—Accountable Care Organizations (ACOs), Independent Practice Associations (IPAs), Clinically Integrated Networks (CINs) and Physician Hospital Organizations (PHOs). Often, there is little difference among the network types, regardless of […]

What Marketplace and Regulatory Drivers are Transforming Healthcare M&A?

Learn the answer at Manatt’s new webinar, “Mapping the Healthcare M&A Landscape: Trends, Challenges and Implications.” Click here to register free—and earn CLE. The number of healthcare transactions reached a record-smashing 1,738 in 2018.1 According to a new Capital One poll, mergers and acquisitions are the preferred growth vehicle for 44% of healthcare executives in […]

HHS Proposes Revising Anti-Kickback Safe Harbor on Pharmaceutical Rebates

On January 31, the Department of Health & Human Services (HHS) Office of Inspector General (OIG) issued a proposed rule to fundamentally change the system for negotiating drug prices under Medicare Part D and, potentially, for other government and private payers. HHS proposes to revise the regulatory discount safe harbour to the Anti-Kickback Statute (AKS) so the […]