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CHA Continues Work to Hold Insurers Accountable

What’s happening: CHA continues to await a response to the lawsuit filed against Anthem Blue Cross on April 23.    

What else to know: In the interim, CHA continues to collect information to support its position that many managed care plans, including Anthem Blue Cross, are violating certain provisions of the Knox-Keene Act.   

Media Coverage of CHA Lawsuit Runs Statewide

What’s happening: Statewide and national media coverage of the CHA lawsuit against Anthem Blue Cross includes print articles, news videos, and mentions on local radio stations. 

What else to know: CHA filed the lawsuit on April 23 against Anthem Blue Cross, one of California’s largest health insurance companies.  

Digital Campaign Shines Light on Insurance Company Misconduct

What’s happening: This week, CHA launched a comprehensive digital and social media campaign drawing attention to insurance companies that prioritize profits over patient care.  

What else to know: The campaign is targeted at Sacramento policymakers and complements CHA’s broader work to hold insurance companies accountable for their obligations to patients.  

DMHC Provides Overview of Complaint and Appeals Process

What’s happening: A recording of the March 26 Department of Managed Health Care (DMHC) Complaint and Appeals Process Webinar is now available.     

What else to know: This complimentary, members-only webinar includes information about DMHC’s role in the independent medical review and complaint process. DMHC staff provided an overview of their jurisdiction and the consumer and provider complaint processes.  

Hospital Leaders Discuss Insurers’ Harmful Practices with Health Secretary 

What’s happening: On March 20, CHA convened a small group of hospital leaders for an in-depth discussion in southern California — led by CHA President & CEO Carmela Coyle — with state Health Secretary Mark Ghaly, MD, MPH. In the meeting, they had the opportunity to share perspectives on how harmful insurance practices are impeding patient care and threatening hospitals’ ability to provide care. This is part of CHA’s focus on holding insurance companies operating in California accountable for protecting patients and the providers who care for them

What else to know: Hospital leaders attending the meeting were: Laureen Driscoll, division chief executive, Providence South Division, Providence; Lori Morgan, MD, MBA, President & CEO, Huntington Health, Roger Sharma, President & CEO, Emanate; Julie Sprengel, California division president, CommonSpirit Health; and Doug Sturnick, senior vice president, Managed Care and Payer Relations, Cedars-Sinai. Joining by phone were the Health and Human Services assistant secretary and heads of the Department of Health Care Services and Department of Managed Health Care. 

CHA Participates in DHCS Population Health Management Summit

This post has been archived and contains information that may be out of date.

What’s happening: CHA recently participated in the Population Health Management Transitional Care Services Summit hosted by the Department of Health Care Services. 

What else to know: The summit provided an opportunity for Medi-Cal Managed Care leaders to provide updates on the implementation of transitional care services and share best practices. Several panels included representatives from CHA member hospitals, including Watsonville Community Hospital, Dignity Health, and the University of California, San Francisco.

CHA Encourages Members to Participate in the Vitality Index Payer Scorecard

This post has been archived and contains information that may be out of date.

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.  

What else to know: The CHA Board of Trustees has endorsed this tool, which will automatically draw de-identified claims and remittance information from hospitals without requiring additional reporting or surveys.  

New CHA Advocacy Materials on Key Issues Available

This post has been archived and contains information that may be out of date.

What’s happening: New and updated advocacy materials are available for your use.  

What else to know: Each packet contains an infographic, key messages, and an issue brief.