The Centers for Medicare & Medicaid Services (CMS) has issued its calendar year (CY) 2020 outpatient prospective payment system (OPPS) proposed rule, including significant proposals related to price transparency and changes to the hospital area wage index (AWI). Specifically, CMS would carry over hospital AWI policies proposed under the federal fiscal year 2020 inpatient PPS (IPPS) proposed rule, applying the finalized inpatient policies to outpatient payments.
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Gov. Newsom has appointed Kelly Pfeifer, MD, as deputy director of mental health and substance use disorder services for the Department of Health Care Services (DHCS). Pfeifer has served as director of high-value care at the California Health Care Foundation since 2014, and was chief medical officer of San Francisco Health Plan from 2008 to 2014.
A new report from Covered California reflects its recent efforts to assess the performance of qualified health plans under current contract terms in preparation for updating standards and requirements in the fall.
A delicate surgery saved Dazell’s sight.
The Department of Health Care Services has issued a draft report on primary, core specialty, and facility access to care for managed care beneficiaries, and requests stakeholder feedback by Aug. 19.
CHA has issued a summary — prepared by Health Policy Alternatives — of the proposed rule issued by the Centers for Medicare & Medicaid Services (CMS) that would establish two new mandatory payment models: the Radiation Oncology Model (RO model) and the End-Stage Renal Disease Treatment Choices Model.
CHA has submitted comments to the Department of Health Care Services (DHCS) on its draft proposal for value-based payments for behavioral health integration. In the letter, CHA applauds DHCS for recognizing the need to integrate primary and behavioral health services, and for taking steps to improve the health and wellness of those living with behavioral health challenges.
Earlier this month, the Assembly Appropriations Committee passed Senate Bill (SB) 778 (Committee on Labor, Public Employment and Retirement), which would extend the deadline for providing sexual harassment prevention training to Dec. 31, 2020. The bill is now pending on the Assembly Floor and should be heard when the Legislature returns the week of Aug. 12.