About State-Directed Payments (SDPs) SDPs are additional payments made to health care providers to support Medicaid quality and access goals. The Centers for Medicare & Medicaid Services (CMS) reviews and approves SDPs for each 12-month rating period. Payments to providers are made via managed care organizations (MCOs) and are based on utilization of Medicaid services....
Medicaid provider taxes are a cornerstone of the Medicaid financing structure. Without federal revenue generated from these taxes, reimbursement for care provided to patients covered by Medicaid would be woefully insufficient and health care access would be at grave risk. For many hospitals, losing this revenue would mean closure of service lines; for others, it...
OHCA must engage every sector of health care in making data-driven decisions that improve care access, quality, and equity.
The Office of Health Care Affordability (OHCA) — the state’s response to affordability challenges — is on a path that will debilitate California’s health care system.
Medicare and Medi-Cal underfunding have put the health care system on the precipice.
The risk of losing access to critical health care services for Californians has never been greater.
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