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.
New Reimbursement Options for Inpatient Psychiatric Care
TEAM Bundled Payment Final Rule Webinar
CMS Update on 2025 OPPS and PFS Proposed Rules
On July 10, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2025 outpatient prospective payment system (OPPS) proposed rule and physician fee schedule (PFS) proposed rule.
CHA is hosting this members-only webinar to discuss key proposals in these proposed rules ahead of the comment deadline.
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.