Even before the COVID-19 pandemic, many California hospitals’ financial situations were challenging — nearly 40% operated in the red. Hospitals strive to contain costs while delivering essential care to their communities in the most cost-effective manner. CHA provides direction to hospitals on the diverse issues that affect their financial performance, and advocates for them to ensure that much-needed programs retain their funding. In addition, CHA offers tools such as DataSuite to help hospitals analyze government reimbursement changes, and the potential impact of regulatory and legislative actions on hospitals.
About Finance & Reimbursement
HHS to Make COVID-19 Monoclonal Antibody Free for Uninsured, Underinsured
The Department of Health & Human Services (HHS) has announced it will purchase 60,000 doses of the COVID-19 monoclonal antibody treatment bebtelovimab to provide no-cost access for the uninsured and underinsured.
CMS Announces CY 2023 Deductible for Medicare Programs
The Centers for Medicare & Medicaid Services (CMS) has announced the calendar year (CY) 2023 deductibles for the Medicare Part A and Part B programs.
DHCS Updating Payment System for Diagnosis-Related Group Reimbursement
On Sept. 23, the Department of Health Care Services (DHCS) announced it is updating the Medi-Cal payment system for diagnosis-related group (DRG) reimbursement with the newest ICD-10 diagnosis and surgical procedure codes released by the Centers for Medicare & Medicaid Services, effective for dates of service on or after Oct. 1. However, system updates will […]
DHCS Delaying Implementation of Provider 274 File to Determine Contracting Status for Directed Payments
On Sept. 21, the Department of Health Care Services (DHCS) announced that it is delaying the implementation of the Provider 274 file for determining contracting status relevant to Medi-Cal managed care directed payment programs.
Reminder to Check Phase 4 Provider Relief Fund Payment Status; Phase 3 Reporting Closes Sept. 30
Hospitals that applied for a Phase 4 Provider Relief Fund payment but have not received a response should contact the Health Resources and Services Administration’s (HRSA) provider support line at (866) 569-3522 to check the application’s status.
CHA Urges California Delegation to Support Key Priorities in Final Days of Congress
On Sept. 22, CHA sent a letter to the California congressional delegation outlining key priorities to address issues hospitals are facing across the state.
No Surprises Act Webinar Will Discuss Final Rule and Implementation Update
To assist members in navigating the No Surprises Act final rule, CHA will host a complimentary webinar from 11 a.m. to noon (PT) on Sept. 30.
Report Details Severity of Financial Challenges Facing Hospitals
Last week, the American Hospital Association released a report from Kaufman Hall, a nationally renowned consulting firm, showing that losses in the billions of dollars for hospitals and health systems are expected through 2022, resulting in the most financially difficult year for the field since the beginning of the COVID-19 pandemic in early 2020.
CMS Seeks Input on Advanced Explanation of Benefits and Good Faith Estimate Requirements
The Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI) on the advanced explanation of benefits and good faith estimate requirements of the No Surprises Act, which addresses surprise medical billing at the federal level.
CMS Makes COVID-19 Vaccines, New Booster Free to Recipients, Announces New Codes for Reporting
The Centers for Medicare & Medicaid Services (CMS) has announced that both insured and uninsured people can get COVID-19 vaccines, including the new bivalent Moderna or Pfizer-BioNTech COVID-19 booster, at no cost, for as long as the federal government continues purchasing and distributing them.