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Medicaid Expansion: The Foundation of the ACA Coverage Continuum


Thursday, October 31, 2013
2:00 PM - 3:30 PM ET
Product Code - LGA203
Speaker(s): Deborah Bachrach, Manatt, Phelps & Phillips, LLP; Patricia Boozang, Manatt Health Solutions; Kinda Serafi, Manatt, Phelps & Phillips, LLP
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The Affordable Care Act (ACA) provides authority and enhanced federal funding for states to expand their Medicaid programs beginning in January 2014 to all adults under 65 with incomes below 133% of the Federal Poverty Level. To date, 25 states have announced their intentions to expand Medicaid. Many more continue to consider the fiscal and reform implications of the expansion and are working with the federal government to craft workable approaches. If enacted nationwide, the ACA Medicaid expansion would enroll 21.3 million individuals by 2022. Apart from the expansion, the ACA makes dramatic changes to Medicaid benefits and eligibility categories as well as eligibility and enrollment requirements and processes.

Clearly, Medicaid is one of the pillars of universal coverage under the ACA. By bringing millions of more Americans into the healthcare system, it will play a significant role in shaping the strategies and plans for all the healthcare stakeholders, from states to providers to payers to life sciences companies.

The faculty presenting this program will take an in-depth look at the facts, implications and impact around Medicaid program changes under the ACA and how the healthcare players can adapt to a dramatically different environment, including:

• The ACA’s changes to Medicaid and the options and considerations of dealing with ACA-compliant programs;

• Expansion considerations for states, from fiscal implications to the coverage “black hole”;

• An overview of where state decisions stand today;

• The rules around enhanced federal funding for states expanding Medicaid;

• Alternative Benefit Programs and implications for Medicaid benefit packages and service delivery;

• The rules and effects of streamlining eligibility;

• The integration of Medicaid and Exchanges across key functions—and options for coordinating eligibility;

• The ACA mandate around disproportionate share hospital payments (DSH), designed to compensate hospitals for care to indigent patients; and

• Other coverage alternatives for low-income consumers.

Educational Objectives:

• Gain an understanding of the ways the ACA is transforming Medicaid, the impact on the healthcare landscape, and the changes, challenges and opportunities of ACA-compliant Medicaid programs.

• Learn the process for constructing a Medicaid ABP—from selecting a benchmark plan to conducting a comparative analysis to meet federal requirements.

• Explore the full range of factors states need to consider when choosing whether to expand Medicaid and the status of state decisions today.

• Find out all of the rules, formulas and calculations around federal funding, eligibility and enrollment, with concrete examples and real-world scenarios provided.

• Discover the options, requirements and responsibilities around integrating and aligning the Medicaid and Exchange functions.

• Learn other coverage alternatives for low-income populations, including premium assistance and cost-sharing support.

Who would benefit most from attending?

Individuals involved in health reform decisions and implementation for states, as well as general counsel, strategic planners and regulatory/government affairs executives at payer, provider and life sciences organizations will benefit from the program. Attorneys and foundations focused on healthcare, access and coverage issues also will get value from the program.

Program Level: Intermediate

Credit Available: CLE. For additional information, please see the “CLE Credit” tab.

Deborah Bachrach, Manatt, Phelps & Phillips, LLP; Patricia Boozang, Manatt Health Solutions; Kinda Serafi, Manatt, Phelps & Phillips, LLP

Deborah Bachrach, Manatt, Phelps & Phillips, LLP
Deborah Bachrach is a partner in the healthcare practice of Manatt, Phelps & Phillips, LLP, which is focused on health policy and financing in the public and private sectors as well as on federal health reform and Medicaid payment and delivery system reforms. Before joining Manatt, Ms. Bachrach was the Medicaid Director and Deputy Commissioner of Health for the New York State Department of Health, Office of Health Insurance Programs, where she led efforts to streamline Medicaid’s eligibility and enrollment process and improve its purchasing strategies. Ms. Bachrach also has served as Vice President, External Affairs at St. Luke’s-Roosevelt Hospital Center; New York State Chief Assistant Attorney General; and Chief of the Civil Rights Bureau in the Office of the New York State Attorney General. An adjunct professor at the New York University School of Law, she has won numerous awards, including the Outstanding Career Achievement Award from the NY Association for Ambulatory Care, the Forstner Award from the Community Health Association of NY and the Leadership Award from the Coalition of Behavioral Health Agencies.

Ms. Bachrach earned a J.D. from the New York University School of Law, where she was the editor of the Moot Court Board, a University Honors Scholar and a Vanderbilt Medal Recipient, and a B.S., cum laude, from the University of Pennsylvania Wharton School. She is admitted to practice in New York State.

Patricia Boozang, Manatt Health Solutions
Patricia Boozang is a Managing Director of Manatt Health Solutions (MHS), focused on guiding clients through the operational, regulatory and political challenges of the Affordable Care Act (ACA) and other government health insurance programs, as well as advising foundations, states and health plans on health reform implementation. Prior to joining Manatt, Ms. Boozang was vice president, marketing and communications, for Physician Weblink, a national healthcare technology and physician management company. Before Physician Weblink, she was an associate at Sterling Health Capital Management, assisting hospitals and community health centers in business planning and implementation.

Ms. Boozang earned an M.P.H. from Columbia University, Mailman School of Public Health, and a B.A. from Boston College. She is a member of the National Academy of Social Insurance (NASI).

Kinda Serafi, Manatt, Phelps & Phillips, LLP
Kinda Serafi serves as counsel in the healthcare practice of Manatt, Phelps & Phillips, LLP, where she guides clients through the complexities of public health insurance programs and provides strategic counsel, policy analysis and research support to state and city governments, foundations, Medicaid service providers and advocacy organizations. Prior to joining Manatt, Ms. Serafi served as the director of policy for the Children’s Defense Fund in New York, where she conducted policy analysis and provided advocacy on behalf of low-income children and families. Previously, she was the director of legal advocacy and organizing at the Lenox Hill Neighborhood House, where she launched a multidisciplinary civil legal services department; a law guardian at the Legal Aid Society, Juvenile Rights Division where she represented abused and neglected children; and the deputy director of programs and policy for the Children’s Defense Fund in Washington, D.C.

Ms. Serafi earned a J.D. from the State University of New York at Buffalo, School of Law, where she was the Publications Editor of the Buffalo Law Review and the winner of the Dale S. Marguiles Award, and a B.A., cum laude, from Georgetown University. She is admitted to practice in New York and is a board member of Community Food Advocates.

This program’s CLE-credit eligibility varies by state. Bloomberg BNA is an accredited provider in the states of New York*, California, Pennsylvania, Texas and Virginia, and most other jurisdictions grant CLE credit on a per-program basis. At this time, Bloomberg BNA does not apply directly to the states of Florida, Rhode Island, Montana and Hawaii although credit is usually available for attorneys who wish to apply individually. Additionally, the following states currently do not grant credit for Bloomberg BNA OnDemand programming: Arkansas, Ohio, Nebraska, and Delaware. All requests are subject to approval once the live webinar has taken place or the customer has viewed the OnDemand version. Please contact the Bloomberg BNA accreditations desk if you have specific questions that have not been addressed.

If you have further questions regarding a specific state or how to file for CLE credit, please contact Bloomberg BNA customer service at 800-372-1033 and ask to speak to the CLE Accreditation Coordinator.

Hardship Policy
For information regarding Bloomberg BNA’s Hardship Policy, please visit the Continuing Education Information page.

Questions
For more information about Mandatory or Minimum Continuing Legal Education (MCLE) requirements, visit the American Bar Association website at http://www.abanet.org/cle/mandatory.html.

*Bloomberg BNA is an accredited provider in New York for experienced attorneys only.

• Bloomberg BNA Subscriber - Webinar and OnDemand formats $149
• Non-Subscriber - Webinar and OnDemand formats $224
• CD with webinar registration $75
• CD without webinar registration $224 / $149

Only paid registrants are eligible for CLE credit for both webinars and OnDemand offerings.

Registration for Legal & Business programs is simple. You may either visit the registration page to register –or– call 1-800-372-1033, Option 6, and refer to the date and title of the program. Lines are open Monday through Friday from 8:00 a.m. to 8:00 p.m. ET.