Finance & Reimbursement

About Finance & Reimbursement

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.  

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 […]

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.