Finance & Reimbursement

About Finance & Reimbursement

California’s hospitals are under duress, facing crippling inflation and systemic underfunding by government payers — Medi-Cal and Medicare. Every day, over half of California’s hospitals lose money caring for patients. The 2023-24 state budget reauthorizes California’s managed care organization tax, dedicating much of the revenue to support for Medi-Cal enrollees. But without meaningful change to Medicare and Medi-Cal, the most vulnerable Californians will continue to be left behind. Health insurance companies must also do their part to protect essential services, including timely reimbursement and processing of claims. reimbursement and processing of claims.

Explaining CMS’ 2024 OPPS and PFS Proposed Rules Webinar

On July 13, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2024 outpatient prospective payment system (OPPS) proposed rule and physician fee schedule (PFS) proposed rule. CHA is hosting a members-only webinar to discuss key proposals in these proposed rules on August 21 from 9-10:30 a.m. (PT) ahead of the comment deadline.