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.
Hospital Fee Program Invoices Due Aug. 27
Members-Only Summaries Detail Post-Acute Care, Psych Payment Final Rules
CHA Highlights Severe Implications of OBBBA Cuts to Medi-Cal at Joint Senate, Assembly Health Committee Hearing
CMS 2026 OPPS Proposed Rule
Preparing for Transforming Episode Accountability Model (TEAM) Participation
Upcoming Webinar Details BCBS Settlement’s Implications for Members
What’s happening: On June 23 from 9-10 a.m. (PT), revenue recovery consulting firm Managed Care Advisory Group and Hospital Council – Northern & Central California will host a members-only webinar on the $2.8 billion Blue Cross Blue Shield (BCBS) Provider Settlement and its implications for member organizations.
Hospitals Urge State to Allocate Prop 35 Funding As Intended
What’s happening: Last week, CHA submitted comments to the Department of Health Care Services (DHCS) on the administration’s proposal to redirect Proposition (Prop) 35 (2024) funding, rather than allocating it for provider payment increases as voters intended.
Deadline Extended – Urge Lawmakers to Oppose Redirection of Prop 35 Funding
What’s happening: CHA has issued an alert asking members to contact their lawmakers by June 6 and urge them to protect Proposition 35 funding in the 2025-26 budget.
Federal Funding Will Bolster Medi-Cal Reimbursement for Inpatient Psychiatric Care
What’s happening: On Dec. 16, California was approved for the large BH-CONNECT behavioral health demonstration project, which is estimated to bring $5 billion of new federal Medicaid dollars for California over the next five years.
Issue Brief: Systemic Reimbursement Shortfalls Must Be Fixed
Medicare and Medi-Cal underfunding have put the health care system on the precipice.