About Finance & Reimbursement
Vulnerable Californians who rely on the care provided by California hospitals are at risk. Driven by skyrocketing costs for labor, pharmaceuticals, regulatory mandates, and more, 53% of all hospitals statewide lose money every day to deliver patient care.
That isn’t sustainable. And California is already seeing the frightening result: rural health care services being cut to the bone, severe behavioral health care needs not being met, and more.
New CHA Infographic Available on 340B Drug Pricing Program
What’s happening: CHA's new infographic illustrates how the 340B program works, highlights its benefits to patients and communities in reducing drug costs and expanding access to care, details who is eligible to participate, and sets the record straight on program oversight and compliance.
Infographic: 340B Fact Sheet
Following State Bill Intro Deadline, Focus Remains on Financial Instability
Last Friday marked the deadline to introduce bills for the 2026 state legislative session. While the focus for this year will be on CHA’s two sponsored bills, there are several concerning pieces of legislation that will demand intensive engagement. (All told, about 1,800 bills have been introduced this year.)
Register for Webinars on IRF Review Choice Demonstration
What’s happening: Noridian will host three webinars for inpatient rehabilitation facilities (IRF) ahead of the May 1 implementation of the IRF Review Choice Demonstration.
DataSuite Analysis Shows Potential Impact of FFY 2027 VBP Program (Third Quarter 2025 Data Update)
What’s happening: CHA DataSuite has issued a hospital-specific analysis, which is intended to give hospitals a preview of the potential impact of the federal fiscal year (FFY) 2027 Value-Based Purchasing (VBP) program.
HRSA Issues RFI on New 340B Rebate Model Pilot Program, Members Encouraged to Comment by April 20
What’s happening: The Health Resources and Services Administration (HRSA) has issued a request for information (RFI) on whether to implement a new 340B rebate model pilot program and how it might be designed. Comments were originally due by March 19, but HRSA is extending the deadline to April 20.
CalAIM Section 1115 Renewal Open for Public Comment Until March 12
What’s happening: The Department of Health Care Services (DHCS) has opened a 30-day public comment period — ending on March 12 — to solicit feedback on a five-year renewal request of the California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 demonstration.
DHCS Issuing DSH Payments Starting This Week
What’s happening: The Department of Health Care Services (DHCS) will issue full disproportionate share hospital (DSH) payments beginning on Feb. 20.
Action Needed for Prescribers: Ensure Enrollment as Medi-Cal FFS Provider
What’s happening: Beginning on June 26, claims and prior authorizations will not be processed by Medi-Cal Rx if the prescribing health care provider is not enrolled in Medi-Cal fee-for-service (FFS) with a Type 1 National Provider Identifier (NPI).
CHA DataSuite Releases Analysis of FFY 2027 Wage Index and Occupational Mix Date
What’s happening: CHA DataSuite has issued a hospital-specific impact analysis of Medicare’s revised public use files (PUFs) data for the development of the federal fiscal year (FFY) 2027 hospital wage index and occupational mix data.