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.
CMS Finalizes CY 2026 Payment Policies for Physicians
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2026 physician fee schedule final rule.
2025 Hospital Finance & Reimbursement Conference Approaching
What’s happening: On Nov. 3-4, California hospital finance experts will gather at CHA’s members-only Hospital Finance & Reimbursement Conference to examine the fiscal impact of state and federal regulations and policies on hospitals.
CHA Infographic Explains Looming Medicare Cuts
What’s happening: CHA created an infographic on the looming 4% Medicare sequester cut that could go into effect Feb. 1, 2026, if Congress does not act. The sequester would apply to all traditional Medicare payments including inpatient, outpatient, and physician fee schedule services.
CMS Clarifies Claims Hold, Will Process Physician Fee Schedule Claims
What’s happening: The Centers for Medicare & Medicaid Services (CMS) clarified that Medicare administrative contractors (MACs) should process certain claims dated Oct. 1 or later, including Medicare physician fee schedule claims, ground ambulance transport claims, federally qualified health center claims, and telehealth claims that CMS can confirm are for behavioral health services.
MACs to Continue Temporary Hold for Claims Dated Oct. 1 Or Later
What’s happening: The Centers for Medicare & Medicaid Services (CMS) has instructed Medicare administrative contractors to continue to hold certain claims dated Oct. 1 or later for services impacted by the federal government shutdown.
CHA Publishes Lobbying Percentage of Dues for Medicare Cost Reports
What’s happening: Hospitals are required to adjust their Medicare cost reports to eliminate the portion of association membership dues related to certain unallowable lobbying expenses, as defined by Medicare. Each year, CHA calculates the unallowable-cost portion of association dues, which differ by geographic region and by tax status.
2025 Hospital Finance & Reimbursement Conference
What’s happening: On Nov. 3-4, California hospital finance experts will gather at CHA’s members-only Hospital Finance & Reimbursement Conference to examine the fiscal impact of state and federal regulations and policies on hospitals.
New Summary Shares Key Provisions of FFY 2026 IPPS Final Rule
What’s happening: CHA has issued a summary detailing the federal fiscal year (FFY) 2026 inpatient prospective payment system (IPPS) final rule.