Earlier this week, CHA sent a pointed letter to the president of Anthem Blue Cross of California, calling out the insurance behemoth’s new multistate payment policy — an unjust and harmful practice that will penalize California hospitals for providing care to patients involving non-participating physicians or providers.
What’s happening: Anthem Blue Cross of California announced in a provider bulletin that, on June 1, it will implement a controversial policy that applies a 10% payment penalty on facility claims when hospitals provide care to patients involving non-participating physicians or providers.
Late last month, the chief executives of some of the nation’s largest insurance companies — UnitedHealth, CVS, Cigna, Elevance, and the California Blues — trekked to Capitol Hill for a day of hearings where federal lawmakers probed one of the most pressing issues of the day: health care affordability.
Over the weekend, CBS News aired an important and timely segment examining the challenges millions of Americans face in accessing health care services due to insurance companies denying coverage for necessary tests and treatments.
What’s happening: The California Department of Health Care Services (DHCS) has republished the State Hearing Form to include a few technical changes to All Plan Letter 21-011, which addresses grievance and appeal requirements for Medi-Cal Managed Care Plans.
What’s happening: With the governor’s Oct. 13 deadline to sign or veto legislation that made it to his desk, the first year of the 2025-26 legislative session has now concluded. CHA has issued a summary of key wins and losses for the year.
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What’s happening: CHA’s efforts to hold Anthem Blue Cross accountable for violating California’s patient protection laws took an important step forward this week: CHA filed its opening brief appealing a February ruling in which Judge Kenneth Freeman decided to abstain.
This post has been archived and contains information that may be out of date.
This post has been archived and contains information that may be out of date.
What’s happening: With federal funding negotiations underway ahead of the end of the fiscal year on Sept. 30, CHA wrote to California’s congressional delegation urging action on key hospital priorities: disproportionate share hospital payments, sequestration, rural hospital care, telehealth flexibilities, site-neutral payment policies, and insurer accountability.
This post has been archived and contains information that may be out of date.