CHA has developed for members a new infographic on the Hospital Fee Program, highlighting the expected changes between the 2017-19 Hospital Fee Program (V) and the 2019-21 Hospital Fee Program (VI). The infographic illustrates the shift in payment structure toward managed care “directed payments,” which requires a hospital to be a network provider to receive a payment.
In September, the Department of Health Care Services (DHCS) submitted a final draft of the Hospital Fee Program (VI) fee and payment model to the Centers for Medicare & Medicaid Services (CMS). While the model should be considered a final draft until the state receives official CMS approval, CHA and DHCS do not expect significant changes during the CMS review and approval process.
To learn more information about the fee program and network provider requirements, view CHA’s webinar.