CHA News

New Year, New Laws, Continued Advocacy

The turn of the calendar to 2024 brings much change for California: a new budget that will have to navigate a deficit that could be as high as $68 billion, a presidential election year, and a host of new laws passed last year that are now in effect. 

HQI Will Facilitate Community of Practice on Workplace Violence in 2024

What’s happening: The Hospital Quality Institute (HQI) will facilitate a Community of Practice on Eliminating Hospital Workplace Violence from January to December 2024.   

What else to know: The purpose of the Community of Practice is to connect individuals working on the issue of workplace violence in hospitals through a collaborative network designed for peer-to-peer learning and exchange.  

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. 

CHA Joins Advisory Group for California’s New 988 System

What’s happening: 988 replaced the National Suicide Prevention Lifeline number in 2022. CHA’s Kirsten Barlow has been appointed to California’s 988-Crisis Policy Advisory Group tasked with developing a comprehensive five-year plan for the system.   

What else to know: Barlow will ensure the hospital voice is part of the conversation shaping the future of a system designed to help people at risk of suicide, or with mental health or substance use disorder challenges.  

Major OHCA Developments to Track in 2024

What’s happening: OHCA ended 2023 with a proposed preliminary spending target of 3% annually for five years and it finalized cost and market impact review regulations.  

What else to know: OHCA’s policy development and implementation is expected to accelerate in 2024, specifically related to the adoption of an initial health care spending target. 

Data Exchange Framework Resources Available on CHA Website

What’s happening: Assembly Bill 133 (Statutes of 2021) outlined the requirement for health care providers, plans, and other entities to exchange health information in real time for treatment, payment, or health care operations. 

What else to know: In July 2023, the California Health and Human Services Agency’s Center for Data Insights and Innovation released the Data Exchange Framework (DxF) and data sharing agreement (DSA), which outline the initial requirements for health information exchange for health and human services organizations in California. To facilitate compliance with the DxF, CHA has gathered current information regarding the DxF, the DSA, and related policies and procedures.

New Patient Medicare Appeals Processes Proposed

What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would establish an appeals process for Medicare beneficiaries who were admitted as an inpatient but whose status changed to outpatient during their hospital stay. 

What else to know: Policies are being established in response to a court order following a class action case filed in 2011.