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CHA News
OHCA Board Continues Aggressive Enforcement Planning, Signals Spending Targets Won’t be Changed
What’s happening: The Office of Health Care Affordability’s (OHCA’s) board met on December 17 to discuss several issues, including enforcement of and updated data related to the spending targets, as well as the office’s recent work to develop a methodology for measuring hospital spending.
CMS Proposes Changes to MA and Part D Star Ratings for Contract Year 2027
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued the contract year 2027 proposed rule for Medicare Advantage (MA) and Part D plans.
CMS Updates Hospital Surveyor Guidance to Address Discharge Planning, Notification Requirements, and More
What’s happening: The Centers for Medicare & Medicaid Services (CMS) has revised Appendix A of the State Operations Manual to include new interpretive guidelines and survey processes.
CHA Issues Summary of CY 2026 OPPS Final Rule
What’s happening: A detailed summary of the finalized provisions of the calendar year (CY) 2026 outpatient prospective payment system (OPPS) final rule is available for members.
IRF Review Choice Demonstration to begin in CA in 2026
What is happening: The Centers for Medicare & Medicaid Services (CMS) has announced that it will be expanding the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility (IRF) Services to California, beginning May 1, 2026.
OSHPD Clarifies Emergency Work Authorization Process
What’s happening: The Department of Health Care Access and Information’s Office of Statewide Hospital Planning and Development (OSHPD) has released a policy intent notice outlining its plans to standardize emergency work authorizations.
Eyes on CMS as Fee Program Negotiations Continue
As California hospitals continue to face strong financial headwinds — soaring inflation, the pending effects of nearly $1 trillion in nationwide federal health care cuts, increased regulatory pressures, and more — all eyes are on the Centers for Medicare & Medicaid Services (CMS), where California’s submission for the next Hospital Fee Program is currently under review.
Ahead of Final 2025 OHCA Board Meeting, CHA Highlights Office’s Key Missteps
What’s happening: This week, CHA submitted a letter to Health Care Affordability Board Chair Kim Johnson, calling out extensive shortcomings in the office’s recent report on Monterey County hospital prices and asking the office to look at all the factors influencing health care affordability – including commercial insurance companies’ role in driving up costs.
Register Now for Dec. 16 Webinar on New Quality Initiative
What’s happening: On Tuesday, the California Alignment for Hospital Quality (Cal HQ) will hold an informational session about the new collaborative’s work. Registration is required.