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.  

MedPAC Releases June 2021 Report to Congress

The Medicare Payment Advisory Commission (MedPAC) has released its June 2021 Report to the Congress, a mandated report that details analysis and recommendations about the Medicare program and health care delivery system.  

HHS Extends Deadline to Use Certain Provider Relief Funds, Announces Reporting Deadlines

On June 11, the U.S. Department of Health and Human Services (HHS) released updated Provider Relief Fund (PRF) reporting requirements. As requested by CHA and others, the revised guidance extends the time granted to recipients to use the funds. The table below illustrates that the time frame for using and reporting PRFs will now occur on a rolling basis based on when the funds were received.

CHA DataSuite Releases Quality Measure Trends, FFY 2023 Preliminary Wage Index and Occupational Mix Analyses

CHA DataSuite has issued two hospital-specific analyses for hospitals. The first analysis is of the Medicare hospital federal fiscal year (FFY) 2023 preliminary wage index and occupational mix data — which is designed in the Information Builders (IB) platform — and a second analysis covers the first quarter of 2021 quality program measure designed in the IB platform. 

CHA to Host Member Forum on Draft Medi-Cal Managed Care RFP

On June 17 from 3 to 4 p.m. (PT), CHA will host a member forum to present an overview of the draft request for proposal for the Medi-Cal managed care plan (MCP) contract and the upcoming Medi-Cal MCP procurement that was released by the Department of Health Care Services on June 1.  Ryan Witz, CHA vice president of health care […]