What’s happening: CHA DataSuite has issued a hospital-specific analysis on quality program measure trends for the third quarter of 2024.
What else to know: The analysis provides hospitals a comparative review of the quality data collected over time by the Centers for Medicare & Medicaid Services (CMS) and published on Care Compare.
As 2024 comes to a close, it’s a good time to pause to reflect on the work we’ve done together to help improve the lives of all Californians.
What’s happening: The Department of Health Care Services (DHCS) requires Medi-Cal managed care plans (MCPs) to identify a liaison to serve as a single point of contact for long-term care providers. These liaisons are listed in an updated DHCS document.
What else to know: The long-term services and supports (LTSS) liaison provides support to LTC providers, including skilled-nursing facilities (SNFs) with addressing claims and payment inquiries and care transitions to support Medi-Cal members’ needs.
What’s happening: On. Dec. 16, the California Department of Managed Health Care (DMHC) announced that it fined Blue Cross of California (Anthem Blue Cross) $3.5 million for mishandling member grievances and not responding on time.
What else to know: Anthem Blue Cross has paid the $3.5 million fine and acknowledged its failure to follow law, which states that “health plans must resolve a standard grievance within 30 days and send a written resolution to the member.”
What’s happening: CHA has partnered with the Hospital Association of Southern California to host the 2025 HR Conference in Long Beach, taking place on Feb. 19 from noon to 5 p.m. and Feb. 20 from 8 a.m. to 4 p.m.
What else to know: The conference will cover topics relevant to human resource (HR) professionals, including recruitment and retention strategies, reasonable accommodation best practices, wage and hour compliance, and workplace investigations. Registration is open for CHA members.
What’s happening: In four new memos, the Centers for Medicare & Medicaid Services (CMS) clarifies survey policies for critical access hospitals (CAHs), long-term care facilities (LTC), and laboratories.
What else you need to know: New and revised guidance addresses time-share and leased space arrangements in CAHs, immediate jeopardy in laboratories, and LTC policies.
What’s happening: Beginning Feb. 14, 2025, the Centers for Medicare and Medicaid Services (CMS) will require giving “Observation Change of Status Notices” to patients who are reclassified from inpatient to observation (outpatient) status.
What else to know: CMS has issued updated information on these new requirements for communication to affected patients. Hospitals will be required to provide a Medicare Change of Status Notice (MCSN) to eligible Medicare patients who are reclassified from inpatient to outpatient receiving observation services.
What’s happening: CHA DataSuite has issued a hospital-specific analysis of calendar year (CY) 2025 Medicare outpatient prospective payment system (OPPS) final rule.
What else to know: The analysis is intended to show providers how Medicare outpatient fee-for-service payments will change from CY 2024 to CY 2025 based on the policies set forth in the final rule.
Last week, CHA held its Behavioral Health Care Symposium, attended by hundreds of clinical professionals, hospital leaders, policymakers, and community stakeholders. This annual gathering highlights the important work hospitals are doing alongside many others to improve behavioral health care across the state. Sessions at the symposium highlighted successful collaborations among hospitals, counties, and health plans.
What’s happening: CHA prevails in Kaweah Delta Health Care District, et al. v. Becerra, the legal challenge to the Centers for Medicare & Medicaid Services’ (CMS’) low wage index policy.
What else to know: CHA has supported this litigation on behalf of its members to reverse a policy that is harmful to all California hospitals.
