10 Medicaid Trends to Watch in 2016—and Beyond

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This program is sponsored by Manatt, Phelps & Phillips, LLP.

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Medicaid continues to gain scale and importance nationally—as the leading source of coverage for Americans and a change agent within the healthcare marketplace.  With the number of Americans obtaining health coverage through Medicaid at an all-time high and mounting evidence of the benefits of Medicaid expansion—to people, providers and states—the coming year is expected to bring continued growth and change.

In a new program, Manatt Health will reveal the top-10 Medicaid trends to watch in 2016 and beyond.  The program will examine the key developments that are transforming Medicaid…how they are playing out as Medicaid continues to evolve…and the implications for the full range of healthcare stakeholders.   From the continued innovations in Medicaid managed care to the emerging opportunities for improving behavioral health to the building momentum for reforming long-term services and supports (LTSS), the session will take an in-depth look at the 10 most powerful trends today—and how they will impact the future of Medicaid and the full U.S. healthcare system.

Educational Objectives:
• Discover the 10 major trends transforming Medicaid—and what new forces are emerging.
• Gain key insights into each trend’s evolution—from its current status to its anticipated impact.
• Explore how the 10 trends will affect the full spectrum of healthcare audiences—including states, providers, plans, pharmaceutical manufacturers and patients.
• Find out what State Innovation Waivers have to do with Medicaid—and how they intersect with 1115 waivers.
• Understand the reasons behind the growing interest in redefining permissible payment parameters under Medicaid.
• Learn what real-world data is showing about the economic impact of Medicaid expansion in “early adopter” states.

Who would benefit most from attending this program? 
Medicaid directors, regulators and policy makers, as well as counsel and executives for provider organizations, health plans and biopharmaceutical companies





Deborah Bachrach has more than 25 years of experience in health policy and financing in both the public and private sectors and an extensive background in Medicaid coverage and payment policies and healthcare reform. She works with states, providers, plans and foundations in analyzing and implementing the Affordable Care Act and payment and delivery system reforms.

Ms. Bachrach has served as an advisor to the Center for Health Care Strategies, the Medicaid and CHIP Payment and Access Commission (MACPAC), the Robert Wood Johnson Foundation and the Kaiser Family Foundation as well as state Medicaid agencies, foundations, healthcare providers and other healthcare organizations. She is an adjunct professor of law at the New York University School of Law, where she teaches a seminar on federal health reform.

From 2007 to 2010, Ms. Bachrach was the Medicaid Director and Deputy Commissioner of Health for the New York State Department of Health, Office of Health Insurance Programs. In this capacity, she was responsible for coverage, care and payment policies for over 4 million children and adults enrolled in New York’s Medicaid and Child Health Insurance Programs and led reforms to streamline Medicaid’s eligibility and enrollment process and to improve its purchasing strategies.

Ms. Bachrach was a partner at Manatt from 1992 to 2006, serving as co-chair of the Healthcare Practice Group. She provided legislative, regulatory and strategic counsel to academic medical centers, safety net hospitals, community health centers, health plans and other healthcare companies.

Prior to this, Ms. Bachrach served as Vice President, External Affairs, at St. Luke’s-Roosevelt Hospital Center. She also worked for four years as New York State Chief Assistant Attorney General and for three years as Chief of the Civil Rights Bureau in the Office of the New York State Attorney General.


Patricia Boozang is Senior Managing Director of Manatt Health, an interdisciplinary policy and business advisory practice of Manatt, Phelps & Phillips, LLP. Ms. Boozang provides policy, strategy and operations advice to a wide range of state and federal agencies and public and private healthcare organizations. She has particular experience in helping clients navigate the operational, regulatory and political challenges of the Affordable Care Act (ACA) and other government health insurance programs, including Medicaid, Medicare and the Children’s Health Insurance Program (CHIP). Ms. Boozang regularly advises foundations, states and health plans on health reform implementation.

Ms. Boozang is skilled at managing complex projects involving a mix of public agencies and private stakeholders. She advises the Coalition of New York State Public Health Plans, an association of ten managed care plans that collectively serves more than 2 million beneficiaries of New York State’s public health insurance programs. She also manages and facilitates the CMS Exchange Innovator and Federally Facilitated Marketplace Learning Collaboratives, working with states on health benefit exchange implementation, eligibility and enrollment, and technology development issues. Ms. Boozang led Manatt’s exchange implementation work for the Commonwealth of Massachusetts, including evaluating coverage transition consideration for enrollees in the state’s exchange, the Connector, and analyzing key operational and strategy issues regarding the Connector’s ACA compliance planning. She was also the project management lead on an exchange implementation project for another state, including helping the state secure $21 million in funding.

In addition to providing ongoing advice and technical assistance to a number of states in the area of exchange business requirements, Ms. Boozang also advises on partnership exchange planning and insurance affordability program eligibility policy and business processes. She has written extensively on health insurance laws and systems, particularly as they relate to managed care.

Prior to joining Manatt, Ms. Boozang was vice president, marketing and communications, for Physician Weblink, a national healthcare technology and physician management company. Before that, she was an associate at Sterling Health Capital Management, where she assisted hospitals and community health centers in business planning and implementation.


Melinda Dutton serves as a partner within the healthcare division of Manatt, Phelps & Phillips, LLP, and also plays a leadership role within Manatt Health, an interdisciplinary policy and business advisory practice within the firm. Ms. Dutton’s practice concentrates on advising clients in the healthcare industry with respect to regulatory, public policy and business matters.

Ms. Dutton has extensive experience working with public health insurance programs and the healthcare safety net, and represents a broad array of healthcare clients in navigating the legal, regulatory and political challenges of the Affordable Care Act, Medicaid, CHIP and other public programs. Ms. Dutton advises foundations, state governments and provider groups on the implications of federal health reform. She has provided counsel to state health reform implementation engagements in multiple states, including North Carolina, Maryland, New York, New Hampshire, California and Missouri. Ms. Dutton serves as an advisor to the RWJ State Health Reform Assistance Network where she provides technical assistance to ten states on issues related to Medicaid and Exchange implementation. She is also Project Director for the CMS Medicaid and CHIP Learning Collaborative and co-leads the Expanding Coverage and Basic Health Plan Learning Collaboratives. Ms. Dutton also serves as an advisor to the Atlantic Philanthropies Children and Youth Programme, where she provides strategic and operational support to the KidsWell Campaign. In addition, Ms. Dutton directs Manatt’s multidisciplinary team of consultants conducting state tracking of health reform implementation efforts.

Ms. Dutton has been engaged in a wide variety of projects involving use of health information technology to improve the quality and efficiency of healthcare. She has supported statewide, multi-stakeholder health information exchange planning efforts in several states. She served as an adviser to New York State on the Health Information Privacy and Security Collaboration, where she identified laws, policies and business practices that support the private and secure exchange of health information, and has assisted states in developing strategic and operational plans to support both statewide health information exchange and implementation of Medicaid incentives under HITECH. 
Prior to joining Manatt, Ms. Dutton served for nine years at the Children’s Defense Fund in New York, where she helped develop and secure passage of legislation expanding publicly funded health insurance programs for children. Ms. Dutton started her legal career at South Brooklyn Legal Services, where she helped establish a health law practice serving low-income populations.

Ms. Dutton has served as a guest lecturer for numerous health law and policy courses at colleges and universities, including New York University School of Law, Columbia Law School and New York Medical College, and she has served as a practitioner-in-residence at Saint Louis University School of Law, the top-ranked healthcare law program in the country.


Cindy Mann has more than 30 years of experience in federal and state health policy, focused on health coverage, financing, access and operational issues. She guides states, providers, plans, consumer organizations and foundations on creating and implementing strategies around federal and state health reform, Medicaid, Children’s Health Insurance Program (CHIP), and delivery and payment system transformation.

Ms. Mann joined Manatt from the Centers for Medicare & Medicaid Services (CMS), where she served as deputy administrator and director of the Center for Medicaid and CHIP Services. At CMS, she led the administration of Medicaid, CHIP and the Basic Health Program at the federal level for more than five years during the implementation of the Affordable Care Act (ACA). Her role included setting federal policy, supporting state program operations and coordinating policy and program operations with the Marketplace. She also was responsible for developing and executing national policies and initiatives regarding long-term services and supports and broader delivery system and payment system reform. In addition, she provided leadership in federal and state efforts to align financing and delivery systems across Medicaid and Medicare.

Prior to CMS, Ms. Mann was a research professor at the Georgetown University Health Policy Institute, where she was founder and director of the Center for Children and Families. Her work at Georgetown focused on health coverage, financing and access issues affecting low-income populations.

Before coming to Georgetown, Ms. Mann served as a senior advisor at the Kaiser Commission on Medicaid and the Uninsured. She also was director of the Family and Children’s Health Program Group at the Healthcare Financing Administration (HCFA), now CMS. In that role, she developed the initial CHIP program rules, as well as led policy development related to Medicaid for children, families and pregnant women.

Ms. Mann came to HCFA from the Center on Budget and Public Policy, where she directed federal and state health policy work. She has extensive experience in state-level matters, having worked on healthcare, welfare and public finance issues in Massachusetts, Rhode Island and New York.