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.
CMS Issues Final Rule Related to Medicare Advantage Days in Disproportionate Share Calculation
On June 7, CMS issued a final rule related to the treatment of Medicare Advantage days for the purpose of calculating a hospital’s disproportionate patient percentage. The rule is in response to the Supreme Court ruling in Azar v. Allina Health Services and applies to cost reporting periods starting before fiscal year 2014. CHA is […]
Federal Medicaid Proposed Regulations — Participant Information
Thank you for registering. Below are important instructions and materials you will need to participate in the webinar. Date: June 15, 2023Time: 11:00 a.m. – 12:00 p.m., Pacific Time
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.
Deadline Extended to Ask Congress and CMS to Fix Inadequate Medicare Inpatient Payment Proposal
Last week, CHA issued an alert on the inadequate Medicare inpatient payment proposed by the Centers for Medicare & Medicaid Services (CMS). The deadline for members of Congress to sign a bipartisan letter asking CMS Administrator Chiquita Brooks-LaSure to ensure next year’s Medicare payments to hospitals accurately reflect the cost of providing care has been […]
Hospital Council to Host Webinar on Energy Savings Program for PG&E Health Care Customers
During a June 8 webinar hosted by Hospital Council, attendees will have the opportunity to learn about PG&E’s Healthcare Energy Fitness Initiative.
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.
CHA DataSuite Releases Three Hospital-Specific Analyses
CHA DataSuite has issued analyses of the federal fiscal year (FFY) 2024 wage index and occupational mix data and two proposed rules — the skilled-nursing facility (SNF) prospective payment system (PPS) and the long-term care hospital (LTCH) PPS.