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.
Delay in CMS Approval of FFS Components Necessitates Revision of Program 9 Fee and Payment Timing
What’s happening: Since the final federal approvals on the Hospital Fee Program fee-for-service (FFS) components were not approved by the Centers for Medicare & Medicaid Services by Oct. 1, the fee and payment timing shared with hospitals in July will be revised.
Reminder: Hospitals Should Plan to Attend MCP Value-Based Payment Contracting Conference
What’s happening: The Department of Health Care Services (DHCS) is hosting hospitals and Medi-Cal managed care plans (MCPs) for a Value-Based Payment (VBP) Contracting Conference on Oct. 15 in Sacramento.
Learn About Impact Analyses Reports During Oct. 8 Webinar
What’s happening: Members are invited to join a webinar on Oct. 8 at 10 a.m. (PT) to hear more about CHA DataSuite and how hospitals can get the most from their impact analysis.
DHCS Hosts Stakeholder Discussion on UIS Fee-for-Service Transition
What’s happening: On Sept. 22, the Department of Health Care Services (DHCS) hosted an ad hoc stakeholder advisory committee focusing on the transition of approximately 2 million Medi-Cal members with unsatisfactory immigration status to Medi-Cal fee-for-service.
Reminder: Hospitals Should Plan to Attend MCP Value-Based Payment Contracting Conference
What’s happening: The Department of Health Care Services (DHCS) is hosting hospitals and Medi-Cal managed care plans (MCPs) for a Value-Based Payment (VBP) Contracting Conference on Oct. 15 in Sacramento.
August Invoices Past Due, Should be Paid as Soon as Possible
What’s happening: Two hospital fee program invoices were due on Aug. 26. Hospitals that have not yet paid these invoices in full should do so as soon as possible.
OHCA Enforcement and Penalties: Where Things Stand and How to Prepare
DHCS Provides Guidance on Fee-For-Service Transition
What’s happening: The Department of Health Care Services (DHCS) has published new resources to support Medi-Cal members, providers, and partners ahead of the Jan. 1, 2027, transition of members with unsatisfactory immigration status from managed care to fee-for-service.
Health Care Leaders Urged to Apply for Financial Solvency Standards Board
What’s happening: The Department of Managed Health Care (DMHC) is seeking up to four people to serve on the Financial Solvency Standards Board (FSSB). Interested candidates must submit required documents by Oct. 2.
State Budget Includes Key Health Care Provisions
What’s happening: Earlier this week, the Senate, Assembly, and governor reached agreement on the revised 2026-27 state budget. The Senate and Assembly then approved trailer bill measures — including Assembly Bill (AB) /Senate Bill (SB) 173 and AB/SB 113, which relate to health care.