About Medicare
The federal Medicare program is an essential pillar of the state’s health care system, supporting more than 6 million Californians over the age of 65 and younger Californians with disabilities. One in five hospitals is at risk of closing, in part because Medicare reimbursement rates are far lower than the cost of providing care. It’s essential that future federal Medicare policy protects patient care.
CHA Issues Summary of CY 2026 OPPS Final Rule
What’s happening: A detailed summary of the finalized provisions of the calendar year (CY) 2026 outpatient prospective payment system (OPPS) final rule is available for members.
IRF Review Choice Demonstration to begin in CA in 2026
What is happening: The Centers for Medicare & Medicaid Services (CMS) has announced that it will be expanding the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility (IRF) Services to California, beginning May 1, 2026.
House Passes Five-Year Extension of Hospital-at-Home Program
What’s happening: On Dec. 1, the U.S. House of Representatives passed the CHA-supported Hospital Inpatient Services Modernization Act (H.R. 4313) which would extend the Hospital-at-Home program for five years, through Sept. 30, 2030.
CMS to Decrease Home Health Payments 1.3% in 2026
What’s happening: On Nov. 28, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2026 home health prospective payment system final rule.
CHA Releases Guide to Improve Homelessness Reporting Ahead of Potential Reimbursement Changes
What’s happening: The Centers for Medicare & Medicaid Services (CMS) now considers homelessness a “complication or comorbidity,” acknowledging the increased care resources this population requires. This acknowledgement signals potential Medicare reimbursement changes in the future.
D.C. Download: The Good, the Bad, and the Unknown
Congressional votes to end the federal government shutdown have brought several pieces of good news for health care. Other developments out of Washington, D.C., have more mixed results.
CHA Encourages Members to Participate in the Vitality Index Payer Scorecard
What’s happening: CHA is endorsing member participation in the Vitality Index Payer Scorecard, which will provide critical information to support CHA’s advocacy to hold insurers accountable for timely and accurate reimbursement.
Area Wage Index Litigation
This page contains important, members-only information related to the Centers for Medicare & Medicaid Services’ recently finalized area wage index policy. To continue, please log in to your member account.
Overview of Changes to the Medicare BPCI-A Payment Model — Participant Information
CMS recently announced the extension of the Bundled Payments for Care Improvement Advanced (BPCI-A) model. Join us for this informative webinar as experts provide an overview of the model, including updates for 2024 participation, application considerations, and program details. Organizations that have never applied for BPCI-A, as well as current BPCI-A participants, will benefit from...