Patricia Blaisdell

DMHC Responds to CHA, Hospital Council Advocacy on Central Valley Capacity Crisis

What’s happening: The Department of Managed Health Care (DMHC) has issued All Plan Letter 23-027, urging health plans to reduce administrative barriers for hospitals in the Fresno County area during a surge in the demand that strained hospital capacity.   

What else to know: The communication from DMHC was the result of extensive advocacy from CHA and Hospital Council — Northern & Central California leadership and staff to DMHC, seeking its support in working with plans to facilitate patient discharge and transfers.

DHCS Must Take Steps to Ensure Network Adequacy

What’s happening: In a letter to the California Health & Human Services Agency (HHS), CHA President & CEO Carmela Coyle expressed concern that arbitrary decisions by Medi-Cal managed care plans to terminate contracts with safety net hospitals undermines network adequacy and worsens existing critical capacity issues. 

What else to know: The letter also requests that HHS investigate and address recent concerns that have emerged in Orange County. HHS oversees the Department of Health Care Servies. 

CMS Provides Health Equity Reports to Post-Acute Care Providers

What’s happening: The Centers for Medicare & Medicaid Services (CMS) is providing health equity confidential feedback reports to post-acute care providers including home health (HH), inpatient rehabilitation facility (IRF), long-term care hospital (LTCH), and skilled-nursing facility (SNF) settings. 

What else to know: The reports stratify outcomes for the Discharge to Community and Medicare Spending Per Beneficiary measures by dual-enrollment status and race/ethnicity. 

Managed Care Plans to Face Sanctions from DHCS for Poor Performance

What’s happening: Medi-Cal managed care plans (MCPs) will face sanctions from the Department of Health Care Services (DHCS) for failing to meet quality performance standards. 

What else to know: DHCS has issued All Plan Letter (APL) 23-012, which updates and clarifies the policy on the imposition of administrative and monetary sanctions to plans that fail to meet minimum performance for required quality performance measures. 

CDPH Updates COVID-19 Guidance to Prepare for Winter Virus Surge

What’s happening: The California Department of Public Health (CDPH) has published All Facilities Letter 23-26, which streamlines and updates recommendations for the prevention and control of COVID-19 and other respiratory illnesses in skilled-nursing facilities (SNF).  

What else to know: SNFs are asked to ensure staff readiness for the upcoming winter respiratory virus season, which includes prompt testing and treatment.