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 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.
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...