The newsroom includes access to CHA News, which provides timely information to members every Thursday and is at the core of CHA benefits. In addition, it is also home to resources such as toolkits and talking points designed to help member hospitals and health systems communicate with internal and external audiences on a range of current health care-related issues. Links to CHA media statements and press releases can also be found here.
Newsroom
DHCS Releases Hospital-Directed Payment Encounter Data Sets
This post has been archived and contains information that may be out of date.
On Friday, the Department of Health Care Services (DHCS) released three new hospital-directed payment data sets, available via the Secure File Transfer Protocol site (the site is only intended for file transfers, and uploaded files will be deleted within 45 days).
The data cover:
Bridge Period 2019-20 Phase 3 (July 1-Dec. 31, 2020, service dates). The name of the file will be Name_BP1920P3.
Calendar Year 2021 Phase 1 (Jan. 1-June 30, 2021, service dates). The name of the file will be Name_CY2021P1.
Calendar Year 2021 Phase 2 (July 1-Dec. 30, 2021, service dates). The name of the file will be Name_CY2021P2.
Important Update
The data file with Bridge Period 2019-20 Phase 3 (July 1-Dec. 31, 2020) is the “first pass” at identifying contract status. This contract flagging status file is due no later than close of business on Jan. 21, 2022. As a reminder, the final due date for any new or edited encounter data to be submitted to DHCS for consideration within the bridge period Phase 3 calculation is Dec. 31, 2021.
Reminder: This is an important step in the state’s effort to calculate managed care directed payments that are expected to process in September 2022. Any encounters that are not accurately populated with a contract status flag (“C” indicates contracted, “N” indicates non-contracted, and “H” indicates a hospital-to-hospital contract) will be defaulted by DHCS to “N” — non-contracted — and will not count toward any directed payments.
DHCS Issues Hospital Fee Program CY 2021 Passthrough Invoices
This post has been archived and contains information that may be out of date.
Last week, the Department of Health Care Services (DHCS) issued invoices to hospitals associated with the managed care calendar year (CY) 2021 passthrough cycle. Since the CY 2021 time period crosses over two state fiscal years, the DHCS team labeled these invoices as “MC2 PT and MC3 PT.”
Sequester Deal Provides Critically Important Relief for California Hospitals
This post has been archived and contains information that may be out of date.
This week, the U.S. House and Senate came to an important bipartisan, bicameral agreement to support hospitals and other providers as they continue to reel from the financial devastation of the COVID-19 pandemic — all while bracing for the potential of another surge due to the omicron variant. It has passed in the House of Representatives, and the Senate is expected to vote on it today or tomorrow.
Updates for the Week of Dec. 6
This post has been archived and contains information that may be out of date.
The Centers for Medicare & Medicaid Services issued the following updates this week:
CHA Provides State-Specific Language for Model No Surprises Act Forms
This post has been archived and contains information that may be out of date.
CHA has drafted language summarizing California’s surprise billing laws for the No Surprises Act model disclosure notice for patient protections against surprise billing notice regarding patient protections against surprise billing.
CHA Comments on Second No Surprises Act Interim Final Rule
This post has been archived and contains information that may be out of date.
CHA has submitted comments on the second interim final rule implementing the No Surprises Act (NSA) that includes provisions related to the independent dispute resolution (IDR) process, good faith estimates for uninsured individuals, and the Patient-Provider Dispute Resolution process.
CHA, CMA Urge Congress to Eliminate or Delay Upcoming Medicare Cuts
This post has been archived and contains information that may be out of date.
CHA and the California Medical Association (CMA) today sent a joint letter to the California congressional delegation urging Congress to eliminate or delay Medicare cuts that are scheduled to go into effect on Jan. 1, 2022. CHA and CMA asked delegation members to support legislation that would both extend the moratorium on the 2% Medicare sequestration cuts and prevent the Pay-As-You-Go (PAYGO) sequestration — which would...
Behavioral Health Resources Available for Coping With the Pandemic
This post has been archived and contains information that may be out of date.
The COVID-19 pandemic has placed new levels of stress on health care professionals. Knowing how to spot signs and symptoms of stress is the first step to learning how to cope, build resilience, and get additional help if needed. To support health care workers during this challenging time, the Substance Abuse and Mental Health Services Administration (SAMHSA) has compiled these...
National Quality Forum Releases New Measures Under Consideration for Federal Quality Reporting Programs
This post has been archived and contains information that may be out of date.
The National Quality Forum (NQF) has released its list of 29 measures under consideration (MUC) for federal public reporting and payment programs, including the hospital inpatient and inpatient psychiatric facility quality reporting programs, the Medicare and Medicaid promoting interoperability program, and the Merit-Based Incentive Payment System. This year, NQF has also convened the first advisory group to provide input on the MUC...
CHA Comments on Revised FDA Draft Compounding Guidance
This post has been archived and contains information that may be out of date.
CHA has submitted comments to the Food and Drug Administration (FDA) on its revised draft guidance on hospital and health system compounding under Section 503A of the Federal Food, Drug, and Cosmetic Act. In the letter, CHA applauds the agency for revising its earlier 2016 draft guidance to eliminate the previously proposed policy that would have established a one-mile radius requirement as criteria for medication distribution by a hospital or health...
