CHA News

CMS Issues Proposed Rule on Medicaid Financing

On Tuesday, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule titled “Medicaid Fiscal Accountability Rule.” CHA is still analyzing the provisions outlined in the proposed rule and the potential impact of new guidelines and reporting for Medicaid supplemental payments and their financing arrangements.

Tuition Scholarships Available for Creating Care Partnerships Conference

Tuition scholarships are available for CHA’s Creating Care Partnerships: Beyond the Continuum conference, scheduled for March 2-3, 2020, in Pasadena. The conference will focus on how hospitals are moving toward value-based care by reaching across and beyond the care continuum, featuring “real world” examples of innovative care partnerships that support effective care transitions.

Behavioral Health Integration Incentive Program Applications Due January 21

Applications are due on or before Jan. 21 for those interested in participating in the Department of Health Care Services’ (DHCS) Behavioral Health Integration Program. Eligible entities include primary care, specialty care, perinatal care, hospital-based and behavioral health providers, federally qualified health centers, rural health clinics, Indian health services and public providers who provide services to Medi-Cal beneficiaries are eligible to submit applications. County-based providers are eligible to apply.

New Infographic Available on Hospital Fee Program

CHA has developed for members a new infographic on the Hospital Fee Program, highlighting the expected changes between the 2017-19 Hospital Fee Program (V) and the 2019-21 Hospital Fee Program (VI). The infographic illustrates the shift in payment structure toward managed care “directed payments,” which requires a hospital to be a network provider to receive a payment. 

CMS Issues Proposed Rule on Transparency in Coverage

The Centers for Medicare & Medicaid Service (CMS) — along with the Departments of Labor and Treasury — has issued a proposed rule that would establish a number of new price transparency requirements for health plans. The proposed rule is intended to build on newly finalized price transparency requirements for hospitals, and reflects President Trump’s June 24 executive order. 

CMS Issues Hospital Price Transparency Final Rule

Today, the Centers for Medicare & Medicaid Services (CMS) issued the second part of its calendar year 2020 outpatient prospective payment system final rule, which finalizes problematic provisions related to price transparency requirements for hospitals. The final rule is effective for all hospitals beginning January 2021.

Authors
  • Anne O'Rourke
    Senior Vice President, Federal Relations