On-Demand Learning

Office of Health Care Affordability Cost & Market Impact Review Process — Participant Information

Program originally recorded January 8, 2024.

The Office of Health Care Affordability (OHCA), established in 2022, will profoundly shape health care in California. Its legislative goals are to slow health care spending growth, promote high-value system performance, and assess market consolidation. 

To shed light on the impacts of mergers and acquisitions in the health care space, OHCA will conduct prospective cost and market impact reviews (CMIR) on market transactions that meet designated materiality thresholds. These reviews will consider changes in size or market share, prices relative to other providers, and other factors in the public interest, including the benefits of the proposed transaction.

This webinar will review the:

  • CMIR process and timeline
  • Circumstances requiring filing
  • Information that must be provided to OHCA
  • Criteria considered in the CMIR process

Hear directly from Office of Health Care Affordability leaders on how this review process will impact your hospital.

  • Review the circumstances requiring filing
  • Discuss the CMIR process and timeline
  • Detail the information that must be provided to OHCA
  • Summarize the criteria considered in the CMIR process

Brian Kearns
Assistant Chief Counsel of the Compliance Branch
Office of Health Care Affordability

Brian Kearns is the Assistant Chief Counsel of the Compliance Branch of the Office of Health Care Affordability (OHCA). He began his career in the private sector representing clients in contract disputes, partnership dissolution, and other corporate matters. He joined Covered California’s in-house legal team in 2015 where he negotiated agreements, supported fraud investigations, prepared regulation packages, and counseled divisions on the implementation of the Affordable Care Act. He joined OHCA in 2023 and has primarily focused on establishing the Cost and Market Impact Review (CMIR) program.

Vishaal Pegany
Deputy Director
Office of Health Care Affordability

Vishaal Pegany is the Deputy Director for the Office of Health Care Affordability (OHCA), housed within the Department of Health Care Access and Information (HCAI). He was an assistant secretary at the California Health and Human Services Agency (CalHHS). Vishaal represented CalHHS in the policy development and negotiations for OHCA for the last three years. In addition to his work at OHCA and CalHHS, Vishaal has focused on efforts to improve health care affordability, health coverage, and quality of care, including staffing the Health and Human Services Secretary on the Healthy California for All Commission.

Sheila Tatayon
Assistant Deputy Director of the Compliance Branch and Chief Counsel
Office of Health Care Affordability

Sheila Tatayon is the Assistant Deputy Director of the Compliance Branch and Chief Counsel for the Office of Health Care Affordability. She has worked in both the private and public sector on health care reform, including the initial TRICARE contract for the West Region, Medicaid managed care contracts in multiple states, and the Affordable Care Act. Sheila has also provided legal counsel to health care clients on preparing for compliance audits, HIPAA breach investigations, corporate acquisition filings, and antitrust risks of hospital mergers.

Ben Johnson (moderator)
Vice President, Policy
California Hospital Association

Ben Johnson is CHA’s Vice President, Policy, covering finance and affordability issues, including the Office of Health Care Affordability. Ben has been working in health care policy for 8 years, previously having advised the state legislature from his role at the Legislative Analyst’s Office, where he was lead on issues like drug pricing, the Medi-Cal budget, single-payer financing, and health care-related taxes.

Lois Richardson (moderator)
Vice President, Legal Counsel

California Hospital Association
Lois Richardson has a multifaceted job at CHA. She is responsible for evaluating the legal impact of proposed legislation/regulations on California hospitals and providing legal advice to CHA’s advocacy staff. In addition, she is the author of numerous CHA publications, including the Consent Manual, California Health Information Privacy Manual and California Hospital Survey Manual. Lois has also served as the executive director for the California Society for Healthcare Attorneys since 2000.

For additional assistance and other inquiries, email CHA’s Education Department at education@calhospital.org.