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.
Medicaid Managed Care Final Rule Overview Webinar
FFY 2025 IPPS Proposed Rule Webinar
Join CHA’s Megan Howard and Chad Mulvany as they provide a summary of the proposed rule implications on your organization and how you can share your concerns on the impending changes.
Medicare Inpatient Rule: Mandatory Bundled Payment Model
The Centers for Medicare and Medicaid Services (CMS) proposed the Transforming Episode Accountability Model (TEAM), which will hold selected hospitals accountable for the cost and quality of certain surgical procedures. TEAM aims to improve outcomes for Medicare patients undergoing certain high-volume surgical procedures while reducing Medicare spending.
DMHC Complaint and Appeals Process Webinar
Vitality Payer Scorecard: Holding Insurers Accountable
Office of Health Care Affordability (OHCA) – A Deep Dive on Spending Targets
Join CHA staff for a deeper look at what this proposal means, the detrimental impacts this will have on health care, and how hospitals can lend their voices to protect patient care.
2024 Hospital Finance and Reimbursement Seminar
Join CHA and experts from respected law firms for insights on how new regulations, a new state agency, and imminent changes will impact Medicare, Medi-Cal, and hospital reimbursement in 2024 and beyond.
Office of Health Care Affordability Cost & Market Impact Review Process
Hear directly from CHA and the Department of Health Care Access and Information, Office of Health Care Affordability experts on how this review process will impact your hospital.
Office of Health Care Affordability (OHCA) 101: What You Need to Know and What is to Come
CHA is hosting a webinar to review the Office of Health Care Affordability’s various responsibilities and objectives under state law, provide a high-level update of implementation progress to date, and preview what is coming next from this important new regulatory agency.
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.