#CMS made important new proposals to improve how primary care providers are paid to care for #Medicare beneficiaries. If finalized in the 2025 Physician Fee Schedule Final Rule later this year, these proposals will add new reimbursement opportunities for the delivery of comprehensive primary care, including care management outside visits. Manatt's Jared Augenstein, Tracy Johnson, Ph.D. and Edith Coakley Stowe will be joined by #CMS tomorrow to discuss the proposals and RFI, including the broader implications of these changes beyond Medicare. To learn more, click here: https://lnkd.in/guBfTEw7
About us
With a diverse team of more than 160 healthcare professionals, including lawyers, MBAs, financial experts, technology experts, reimbursement experts and former government officials, we combine the rigor of legal thinking with the strategic and project management disciplines of consulting. It's this combination that creates opportunity for our clients to thrive. Learn about #ManattOnHealth premium content here: https://www.manatt.com/manatt-on-health
- Website
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https://www.manatt.com/Health
External link for Manatt Health
- Industry
- Business Consulting and Services
- Company size
- 51-200 employees
- Headquarters
- Los Angeles, California
- Specialties
- Payment and delivery system transformation, Medicaid policy, redesign and innovation, Strategic planning services, Mergers and acquisitions, Regulatory compliance, Health reform implementation, Health IT strategy, Privacy and security, and Healthcare litigation
Updates
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Provider taxes have become a central pillar of #Medicaid non-federal share financing. To build consensus around these taxes, some states and provider groups have relied on so-called “pooling” arrangements. However, in recent rulemaking and accompanying guidance, #CMS reinforced its commitment to prohibiting these pooling arrangements, including those without direct state involvement. Anne Karl, Avi Herring and Adam Striar explain why states and provider groups with pooling arrangements should consider alternative approaches and offer strategies to help them comply with CMS guardrails: https://lnkd.in/e24xEqWd
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Randi Seigel and Annie Fox were quoted in Inside Health Policy about the continued emergence of state health #artificialintelligence laws and how the resulting patchwork landscape is impacting health care stakeholders. To learn more, click here: https://lnkd.in/ev5jfJub
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#CMS recently announced the “maximum fair prices” for the first 10 drugs subject to the #Medicare drug negotiation program, which are predicted to save the government billions when they take effect. However, it remains to be seen how these prices will impact the Medicare program, as well as how Part D coverage and utilization of these products may change. A new Manatt Health infographic by Alex Dworkowitz, Adam Finkelstein, Erin Estey Hertzog, Michael Kolber, Ross Margulies and Helen Pfister provides detailed information on the 10 selected drugs and their prices and offers a metric to understanding the Medicare drug negotiation program. View the full infographic here: https://lnkd.in/eGP98fif
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Michael Kolber was quoted in Inside Health Policy on how #CMS’ first round of negotiated prices for #Medicare drugs under the #IRA may influence how states with #PDABs set their own pricing limits. To learn more, click here: https://lnkd.in/eqDfz_nb
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Over the course of the last two decades, non-industrial businesses in California have faced increased scrutiny of their compliance with the complex rules related to their management of regulated wastes, such as hazardous waste, medical waste and confidential customer information. While retail enforcement had constituted a significant part of the effort, we have seen a recent shift in the attention of these prosecutors towards the health care sector. Matt Williamson and Pete Duchesneau provide steps to for health care providers minimize the environmental and regulatory risks: https://lnkd.in/eXe56pbT
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Breaking legal battle over #Healthcare Access for #DACA Recipients. Manatt’s Julian Polaris analyzes the lawsuit by 15 states challenging a #CMS rule making DACA Recipients eligible for premium tax credits in the #HealthInsurance marketplace. https://lnkd.in/dPYrEjp4
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Manatt's Cindy Mann spoke on a KFF podcast about how the overturning of #Chevron deference will affect the creation of #healthpolicy legislation, regulation and program implementation. To learn more, click here: https://lnkd.in/eUru84Ye
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#CMS released its annual proposed rule updating the #Medicare Physician Fee Schedule for calendar year 2025. The proposed rule includes various provisions related to #telehealth service delivery and other virtual care modalities. Manatt's Jacqueline Marks Smith, Adam Finkelstein, Michelle Savuto and Jared Augenstein break down the various provisions here: https://lnkd.in/ddVMrfmy
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Check out Manatt Health Managing Director Christina Farr’s new #lifesciences and #healthtech podcast, "Second Opinion"! Join Chrissy and her co-hosts Luba Greenwood and Ash Zenooz for candid conversations with influential entrepreneurs and industry leaders on some of the most pressing issues and trends shaping health care—and how to spot the next win. https://lnkd.in/gE67BMaq
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