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Budget Deal Brings Big Changes for Health Care

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Earlier this week, California’s Senate and Assembly, along with Gov. Gavin Newsom, finalized several important details of this year’s budget, a $300 billion spending package that includes several far-reaching features that will affect both health care delivery and hospital operations. While legislation is far from complete and it is expected that more issues will arise in August, this week’s budget deal includes: 

Scammers Diverting Drug Shipments from Distributors, Pharmacies

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The California State Board of Pharmacy is warning hospitals about a sophisticated fraud scheme to obtain pharmacy account numbers and other sensitive information and unlawfully divert quantities of pharmaceutical goods in transit.   

CHA Issues Summary of Calendar Year 2023 Home Health PPS Proposed Rule

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CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of the calendar year 2023 home health (HH) prospective payment system proposed rule recently released by the Centers for Medicare & Medicaid Services (CMS). Comments on the proposed rule are due to CMS on Aug. 16 by 2 p.m. (PT).   

HRSA Announces Opportunity for Select PRF Payments To Be Reissued

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The Health Resources & Services Administration (HRSA) has announced a one-time voluntary opportunity for providers to have their Provider Relief Fund (PRF) Reporting Period 1 (RP1) payments reissued. This opportunity is available if the provider did not submit a RP1 report by the deadline and returned funds prior to HRSA announcing the Request to Report Late Due to Extenuating Circumstances on April 6, 2022.  

CMS Announces New Voluntary Oncology Model

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The Centers for Medicare & Medicaid Services (CMS) Innovation Center has announced a new voluntary Enhanced Oncology Model (EOM). Under the EOM, participating oncology practices will take on financial and performance accountability for episodes of care surrounding systemic chemotherapy administration to Medicare patients with common cancer types.  

Court Extends Deadline for Patient Representative Mandate for Skilled-Nursing Facility Interdisciplinary Teams

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An Alameda County Superior Court judge has issued an amended judgment in CANHR v. Angell, the 2016 court decision that established a requirement to include a designated patient representative for incapacitated skilled-nursing facility (SNF) residents without decision-makers in interdisciplinary team meetings convened to address care decisions.