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.
CHA DataSuite Releases FFY 2024 Inpatient Rehabilitation Facility Prospective Payment System Final Rule Impact Analysis
CHA DataSuite issued hospital-specific impact analyses of the federal fiscal year (FFY) 2024 Medicare inpatient rehabilitation facility (IRF) prospective payment system (PPS) final rule. The analysis shows providers how Medicare fee-for-service payments would change from FFY 2023 to FFY 2024 based on the final rule. A detailed summary of the final rule is available for CHA members.
CHA DataSuite Releases Analysis of FFY 2024 Medicare Skilled Nursing Facility Prospective Payment System Final Rule
CHA DataSuite issued a hospital-specific analysis of federal fiscal year (FFY) 2024 Medicare skilled-nursing facility (SNF) prospective payment system (PPS) final rule. The analysis shows providers how Medicare fee-for-service payments will change from FFY 2023 to FFY 2024 based on the policies set forth in the final rule. A detailed summary of the final rule is available for CHA members.
CHA DataSuite Releases Analysis of FFY 2024 Inpatient Prospective Payment System Final Rule
CHA DataSuite has released hospital-specific impact analyses of the federal fiscal year (FFY) 2024 Medicare inpatient prospective payment system (IPPS) final rule. The analysis shows how Medicare inpatient fee-for-service (FFS) payments would change from FFY 2023 to FFY 2024 based on the policies set forth in the final rule.
Thanks to Timely and Meaningful State Support, Hospitals Will Be Better Able to Preserve Health Care Services in California
“Vulnerable communities are on a more stable path to ensuring they have access to life-saving hospital services, thanks to timely action by state legislators and the leadership of Gov. Gavin Newsom; Sen. Anna Caballero; Assembly Members Esmeralda Soria, Eduardo Garcia, and Jim Wood; Senate President pro Tempore Toni G. Atkins; and Assembly Speaker Robert Rivas; along with Sen. Shannon Grove,” said […]
Learn About New PSLF Program Rules for California and Texas Physicians, Hospitals During Webinar
The California Medical Association, California Hospital Association, Texas Medical Association, and Texas Hospital Association are hosting a webinar on Sept. 28 at 12:15-1:15 p.m. (PT) about the new federal Public Service Loan Forgiveness (PSLF) program rules, which expand eligibility for California and Texas physicians. It will also discuss how hospitals, foundations, and other entities can become “qualifying employers” for purposes of PSLF, even though they are prohibited by state law from employing physicians.
DHCS to Begin Processing Retroactive FFS Pharmacy Claims Adjustments
On Aug. 17, the Department of Health Care Services (DHCS) and its Medi-Cal Rx contractor Magellan posted an updated provider bulletin notifying pharmacy providers of its plan to recommence pharmacy outpatient drug retroactive fee-for-service (FFS) claims adjustments with dates of service from May 2017 through February 2019.
HCAI Announces 17 Recipients of Distressed Hospital Loan Program Funds
The Department of Health Care Access and Information has announced the 17 hospitals that will receive no-interest loans under the $300 million Distressed Hospital Loan Program.
Register for Upcoming DataGen Webinar on FFY 2024 IPPS Final Rule
CHA encourages members to register for DataGen’s webinar on the federal fiscal year 2024 inpatient prospective payment system final rule and analysis on Aug. 30 at noon (PT). Registration is required.
New Federal Loan Forgiveness for California and Texas Physicians
Everything physicians and hospitals need to know.
CHA Issues Summary of FFY 2024 Long-Term Care Hospital PPS Final Rule
CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of the federal fiscal year (FFY) 2024 long-term care hospital (LTCH) prospective payment system (PPS) final rule.