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DMHC Provides Overview of Complaint and Appeals Process

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What’s happening: A recording of the March 26 Department of Managed Health Care (DMHC) Complaint and Appeals Process Webinar is now available.      What else to know: This complimentary, members-only webinar includes information about DMHC’s role in the independent medical review and complaint process. DMHC staff provided an overview of their jurisdiction and the consumer and provider...

Hospital Leaders Discuss Insurers’ Harmful Practices with Health Secretary 

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What’s happening: On March 20, CHA convened a small group of hospital leaders for an in-depth discussion in southern California — led by CHA President & CEO Carmela Coyle — with state Health Secretary Mark Ghaly, MD, MPH. In the meeting, they had the opportunity to share perspectives on how harmful insurance practices are impeding...

CHA Participates in DHCS Population Health Management Summit

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What’s happening: CHA recently participated in the Population Health Management Transitional Care Services Summit hosted by the Department of Health Care Services.  What else to know: The summit provided an opportunity for Medi-Cal Managed Care leaders to provide updates on the implementation of transitional care services and share best practices. Several panels included representatives from CHA...

New CHA Advocacy Materials on Key Issues Available

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What’s happening: New and updated advocacy materials are available for your use.  

What else to know: Each packet contains an infographic, key messages, and an issue brief.  

CHA Opinion Piece Shines Light on Insurer Crisis in Orange County

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What’s happening: CHA President & CEO Carmela Coyle shares how vulnerable Californians in Orange County are losing access to health care because an insurance company is dropping safety-net hospitals.   What else to know: CalOptima has dropped from its network four hospitals that serve people experiencing homelessness, substance abuse disorders, chronic health conditions, and more. CHA...

CMS Provides “Two-Midnight Rule” Guidance for Medicare Advantage Plans

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What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued a frequently asked questions (FAQ) document on finalized contract year 2024 Medicare Advantage (MA) policies.    What else to know: The document provides guidance on how the "two-midnight" hospital admissions policies apply to MA patients when MA organizations are permitted to deny payment through post-claim...

Survey: Insurance Company Red Tape Leaves Thousands of Patients Stranded in CA Hospitals Every Day

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SACRAMENTO (February 6, 2024) — Every day, an estimated 4,500 Californians are left stranded in hospital beds long after they have been medically cleared for discharge, many of them victims of insurance companies’ bureaucratic red tape or failure to have enough care providers available to help patients recover after their hospital stay. This startling statistic is among the key findings of a recent survey of hospitals conducted by the California Hospital Association (CHA).