2024 Hospital Finance and Reimbursement Seminar — Resources

Date: March 13, 2024 | Time: 8:00 a.m. – 6:00 p.m., PT

March 13, 2024 | Burbank
Los Angeles Marriott Burbank Airport
2500 N. Hollywood Way
Burbank, CA 91505

8:00 – 8:15 am | Welcome and Introductions
Robert Ducay, California Hospital Association

8:15 – 9:30 am | Federal Update/Medicare
Chad Mulvany, California Hospital Association and Katrina Pagonis, Hooper, Lundy & Bookman, PC

Price Transparency Resources

  • Capitol Hill
  • Medicare IPPS/OPPS Highlights, Staffing Ratios
  • Federal Litigation (Medicare DSH, AWI, 340B – MA)
  • Site Neutral
  • MA Rule on PAs

9:30 – 10:45 am | Office of Health Care Affordability Presentation and Panel
Ben Johnson, California Hospital Association, Justin Ziombra, California Hospital Association, Lloyd Bookman, Hooper, Lundy & Bookman, PC, and Ryan Witz, SCA Consulting

  • Merger and Acquisition
  • Cost Targets
  • Data

10:45 – 11:00 am | Break

11:00 am – 12:15 pm | Medi-Cal Financing and Budget
Robert Ducay, California Hospital Association, Ben Johnson, California Hospital Association, Bryan Hooper, Hooper Healthcare Consulting, and Ryan Witz, SCA Consulting

  • MCO/Budget
  • Hospital Fee
  • Other Directed Payments

12:15 – 1:15 pm | Lunch

1:15 – 2:00 pm | Managed Care Challenges and Strategies
Robert Ducay, California Hospital Association, Ben Johnson, California Hospital Association, and Eric Chan, Athene Law

  • Delayed and Denied Payment
  • Discharge Delays/Network Adequacy
  • Quality Payment Collaboration Opportunities
  • No Surprises Act

2:00 – 3:15 pm | State/Federal Regulatory Update
Ben McGowan, California Hospital Association and Felicia Sze, Athene Law

Information on AB 1020

  • Overall Medi-Cal FFS updates
  • Undocumented Program and other Eligibility Requirements
  • Revalidation/reenrollment/unwinding
  • Proposed/Final Access Rule
  • Proposed/Final Medicaid Managed Care Regs
  • 2024 Medi-Cal Managed Care State Contract Changes
  • CalAIM update
  • AB 1020/Charity Care Compliance
  • Medi-Cal Audit and Cost Report Trends

3:15 – 3:30 pm | Break

3:30 – 4:30 pm | Breakout Tables/Open Discussion

4:30 – 6:00 pm | Reception | CHA Office
1215 K St., Suite 700
Sacramento, CA 95814

Lloyd Bookman
Hooper, Lundy & Bookman, PC

Since 1979, Lloyd Bookman’s practice has involved exclusively the representation of health care providers in a wide variety of reimbursement, regulatory and transactional matters. In 1987, Mr. Bookman, together with Patric Hooper and Robert W. Lundy, formed the national health care law firm of Hooper, Lundy & Bookman. As a Founding Partner, he continues to specialize in the representation of health care providers in complex matters.

Eric Chan
Principal Partner
Athene Law

Eric Chan is a technology enthusiast and trial lawyer who represents clients in complex litigation and arbitration on behalf of providers. He has deep experience in managed care disputes, having recovered tens of millions of dollars on behalf of providers. He also defends providers in all kinds of business litigation, including with health information technology (HIT) vendors and other service providers. Eric is a nationally-recognized expert on the No Surprises Act and other aspects of federal and state managed care regulation.

Robert Ducay
Vice President, Policy
California Hospital Association

Robert Ducay serves as Vice President of Policy at the California Hospital Association (CHA). Robert is responsible for developing, advocating, and executing public policies, legislation, and regulations on behalf of CHA member hospitals at the state and national levels. Robert serves as the issue manager for Medi-Cal financing and represents members’ financial interests related to Medi-Cal, which includes the hospital fee, and provides support on financial and reimbursement issues affecting California hospitals and health systems.

Mark Farouk
Vice President, State Advocacy
California Hospital Association

Mark Farouk is the Vice President of State Advocacy at the California Hospital Association (CHA). Prior to joining CHA, Mark served as the chief of staff at the Office of the Assembly Majority Leader. He has over twenty years of experience in government affairs and statewide policy making on important California issues.  

Bryan A. Hooper
Founding Partner
Hooper Healthcare Consulting

Bryan A. Hooper is the Founding Partner of Hooper Healthcare Consulting LLC (“HHC”), a health care consulting firm specializing in assisting California hospitals in their participation in Medi-Cal (Medicaid) as well as other safety net funding programs. HHC focuses on California’s Medi-Cal supplemental hospital funding programs including the Disproportionate Share Hospital (DSH) Program and the Hospital Quality Assurance Fee (HQAF) Program. HHC has also established Strategic Healthcare Analytics (SHA) the foremost safety net funding consultancy assisting private hospitals in California.

Ben Johnson
Vice President, Policy
California Hospital Association

Ben Johnson is CHA’s Vice President, Policy, covering finance and affordability issues, including the Office of Health Care Affordability. Ben has been working in health care policy for 8 years, previously having advised the state legislature from his role at the Legislative Analyst’s Office, where he was lead on issues like drug pricing, the Medi-Cal budget, single-payer financing, and health care-related taxes.

Ben McGowan
Vice President, Policy and Legal Counsel
California Hospital Association

Ben McGowan is Vice President and Legal Counsel for the California Hospital Association (CHA). Ben previously served as Deputy Chief Counsel and Assistant Deputy Director at the California Department of Health Care Services (DHCS), and served as a Staff Counsel for Special Projects and Assistant Chief Counsel for Health Care Financing and Rates at DHCS. In his most recent DHCS position, Ben oversaw over ninety attorneys with respect to all legal matters pertaining to the administration of Medi-Cal and other health programs.

Chad Mulvany
Vice President, Federal Policy
California Hospital Association

Chad Mulvany, Vice President, Federal Policy for CHA, is responsible for providing leadership on federal hospital reimbursement issues and contributes on other federal regulatory matters. Based in CHA’s Washington, D.C. office, Mr. Mulvany collaborates with CHA’s leadership, issue managers, and national hospital associations on analysis and policy development for advocacy purposes.

Katrina Pagonis
Hooper, Lundy & Bookman, PC

Katrina Pagonis is chair of Hooper, Lundy, & Bookman’s regulatory department and a nationally recognized expert on implementation of the Affordable Care Act’s market reforms, including the federal regulation of government-sponsored and private managed care plans and the establishment and operation of Health Insurance Exchanges (“Marketplaces”) like Covered California. Katrina regularly advises clients on the impact of health care reform, as well as emerging health care reform proposals at the state and national levels.

Felicia Y Sze
Managing Partner
Athene Law, LLP

Felicia Y Sze is a recognized expert in Medicaid and Medicare reimbursement matters, focusing on both the managed care and fee-for-service programs. She advises health care providers on a wide array of compliance and reimbursement matters and in disputes with managed care entities and government payors. She founded Athene Law, LLP, a minority-owned health care law firm, in 2018.

Ryan Witz
Senior Manager
SCA Consulting

Ryan Witz is a Senior Manager with SCA and the Sr. VP – Finance and Policy for the District Hospital Leadership Forum (DHLF). In his capacity with DHLF, he is responsible for the development of federal and state financial/reimbursement policy on behalf of California’s District hospitals. This includes overseeing DHLF’s advocacy functions and working directly with state regulators in the design and implementation of health care policies that impact District hospitals, as well as the other healthcare stakeholders that participate with the Districts in this process.

Justin Ziombra
Group Vice President, Data Analytics
California Hospital Association

Justin Ziombra is the Group Vice President of Data Analytics at the California Hospital Association (CHA). In his role, he creates data-driven analyses to identify trends, spot opportunities, and evaluate the impact of state and federal policy changes, and translates the results of these analyses for stakeholders, elected officials and California hospitals. Prior to joining CHA, Justin was a director on the Policy and Data Analytics team at the Maryland Hospital Association and worked as a critical care registered nurse and nurse manager at The George Washington University Hospital in Washington, D.C.

March 11, 2024 | Sacramento
1215 K Street, Suite 1400, California Room
Sacramento, CA 95814

Parking – Esquire Plaza
*Check in at the front desk of the Esquire Plaza Lobby

March 13, 2024 | Burbank
Los Angeles Marriott Burbank Airport
2500 N. Hollywood Way
Burbank, CA 91505

For additional assistance and other inquiries, email CHA’s Education Department at education@calhospital.org.