Finance & Reimbursement

About Finance & Reimbursement

The COVID-19 pandemic has decimated California’s hospitals, leaving more than half losing money every day to care for patients. While hospitals strive to contain costs as they deliver essential care to their communities, the simple fact is that the cost to provide care is outpacing reimbursement for those services. Without meaningful change within the Medicare and Medi-Cal systems, the most vulnerable Californians will continue to be relegated to a second-class health care system. Health insurance companies must also do their part to protect essential services, including timely reimbursement and processing of patient claims.

Federal Medicaid Proposed Regulations Webinar

CHA is hosting a webinar featuring Chad Mulvany, Vice President of Federal Policy, and Robert Ducay, Vice President of Policy. Both experts will discuss their insights and potential impacts related to these proposals. They will answer any questions you have about these proposed rules. 

CHA Issues Draft Comments on IPPS Proposed Rule

CHA has issued members-only draft comments on the federal fiscal year (FFY) 2024 inpatient prospective payment system (IPPS) proposed rule. Members should note that this is a working draft and subject to change. CHA encourages members to use the draft as a template to submit their own comment letters, which are due to the Centers […]

CHA Comments on FFY 2024 IRF, SNF, and IPF PPS Proposed Rules

CHA has submitted comments on the federal fiscal year 2024 inpatient rehabilitation facility (IRF) prospective payment system (PPS), skilled-nursing facility (SNF) PPS, and inpatient psychiatric facility (IPF) PPS proposed rules. CHA encourages members to use the drafts as a template to submit their own comment letters.  

Provider Relief Fund Reporting Period 5 Opens July 1

CHA is reminding members that Provider Relief Fund (PRF) reporting period 5 opens on July 1, 2023. This reporting period covers funds received Jan. 1 through June 30, 2022. PRF recipients have until June 30, 2023, to use any funds received during this time frame to offset expenses or lost revenue related to COVID-19.   

HCAI Releases Distressed Hospital Loan Program Targeted Survey

The Department of Health Care Access and Information (HCAI) has released a survey for hospitals that are potentially eligible for the Distressed Hospital Loan Program. The loan program will provide interest-free and potentially forgivable cashflow loans to hospitals in financial distress.