In the perpetual game of whack-a-mole where the aim is to debunk nasty myths about hospitals that keep popping up just about everywhere you look, yet another mole poked out its head last week in CalMatters.
What’s happening: The Department of Health Care Services (DHCS) has opened a 30-day public comment period — ending on March 12 — to solicit feedback on a five-year renewal request of the California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 demonstration.
What’s happening: The Department of Health Care Services (DHCS) will issue full disproportionate share hospital (DSH) payments beginning on Feb. 20.
What’s happening: Beginning on June 26, claims and prior authorizations will not be processed by Medi-Cal Rx if the prescribing health care provider is not enrolled in Medi-Cal fee-for-service (FFS) with a Type 1 National Provider Identifier (NPI).
What’s happening: CHA DataSuite has issued a hospital-specific impact analysis of Medicare’s revised public use files (PUFs) data for the development of the federal fiscal year (FFY) 2027 hospital wage index and occupational mix data.
What’s happening: On Tuesday, a San Francisco County Superior Court judge ruled that CHA has not yet demonstrated that it has standing to pursue its claim that policies implemented by the Office of Health Care Affordability (OHCA) are jeopardizing access to and the quality of lifesaving health care, in violation of state law.
What’s happening: Ahead of its next board meeting on March 25, the Office of Health Care Affordability (OHCA) continues to seek presentations from health care providers on strategies that have successfully reduced health care spending while promoting good health outcomes. To date, the board has heard from seven health care entities about their cost-reducing strategies.
What's happening: Last week, CHA issued a news release announcing that President & CEO Carmela Coyle would be retiring in early 2027, after a 44-year career in health care policy and advocacy — including nearly 10 years at CHA.
What's happening: The Department of Health and Human Services (HHS) has taken a step toward restarting the administrative process for establishing a 340B rebate model, filing a notice with the Office of Management and Budget that it will look to publish an advance notice of proposed rulemaking. The timing of a proposed rule is unclear at this time, but CHA will keep members apprised of any new administrative process that is put forward.
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.