Finance & Reimbursement

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.

Dual Eligible Medi-Cal Managed Care Enrollment — Participant Information

CalAIM is standardizing Medi-Cal coverage for people enrolled in both Medi-Cal and Medicare with changes for many Californians starting next year.   On January 1, 2023, those enrolled in Medicare and Medi-Cal, who currently receive their Medi-Cal benefits through traditional fee-for-service, will have their Medi-Cal benefits transitioned to Medi-Cal managed care statewide, which could mean changes […]

Treating Opioid Use Disorder in Acute Care Hospitals

Opioid abuse is a long-standing problem in California.
The substance use disorder (SUD) crisis might seem insurmountable, but the CA Bridge Program has developed a model of care that saves lives and helps patients with SUDs get back on track. The 24/7 program is built upon three pillars: rapid access to medication-assisted treatment (MAT), welcoming and destigmatized care and specially trained substance use navigators (SUNs) that connect patients to ongoing care and support.