CMS 2026 OPPS Proposed Rule Participant Information
This post has been archived and contains information that may be out of date.
On July 15, the Centers for Medicare & Medicaid Services (CMS) released its calendar year (CY) 2026 Outpatient Prospective Payment System (OPPS) proposed rule.
The rule proposes a 2.4% payment update for CY 2026, as well as to apply site-neutral payment to drug administration services at certain off-campus hospital outpatient departments and phase out the inpatient-only list.
Additional key provisions include:
A 2% payment cut to non-drug services (instead of a planned 0.5% cut)
340B drug acquisition cost survey
New price transparency and attestation requirements
New data collection on negotiated Medicare Advantage rates to explore setting market-based prices for Traditional Medicare.
Graduate medical education accreditation
Quality measures
Join CHA’s Megan Howard and Michelle Millerick as they discuss key proposals ahead of the September 15 comment deadline.
Preparing for Transforming Episode Accountability Model (TEAM) Participation – Participant Information
Last year, over 100 California hospitals were selected as required participants in the newly finalized Transforming Episode Accountability Model (TEAM). The model is also open to current participants in other Medicare bundled payment models who may opt into TEAM voluntarily.
The model launch date is quickly approaching – Jan. 1, 2026. Join industry experts from Forvis Mazars for an informational webinar that will provide a comprehensive overview of the new mandatory bundled payment model, answers to frequently asked questions, and strategies to prepare.
The 30-day episode-based bundled payment model will hold selected hospitals accountable for the cost and quality of certain high-volume surgical procedures provided to Medicare fee-for-service beneficiaries and seeks to improve patient outcomes while reducing Medicare spending. The list of required participants is posted on the model webpage.
Life-Changing Kidney Transplant Gives Young Mom Newfound Strength
A rare pregnancy complication meant Alexis needed two kidney transplants — and the Sutter California Pacific Medical Center transplant team was there to help.
California Hospital Volunteer Impact Mid-Year 2025
Our goal is to receive a response from every member hospital that operates a volunteer program. This includes any auxiliary, guild, or service league. If your hospital is not listed and you would like to include your hospital, please complete the questionnaire below. Note: If you represent multiple hospitals, one response is acceptable.
Thank you to the following hospitals who responded.
Adventist Health Bakersfield
Adventist Health Delano
Adventist Health Hanford
Adventist Health Reedley
Adventist Health Selma
Adventist Health Simi Valley
Adventist Health Tehachapi Valley
Adventist Health Tulare
Adventist Health White Memorial
Adventist Health White Memorial Montebello
Antelope Valley Medical Center
Bakersfield Memorial Hospital
Cedars-Sinai
Children’s Hospital of Orange County
CHOC Children’s at Mission Hospital
Contra Costa Regional Medical Center
El Centro Regional Medical Center
Fairchild Medical Center
Goleta Valley Cottage Hospital
Henry Mayo Newhall Hospital
John Muir Health, Concord Medical Center
John Muir Health, Walnut Creek Medical Center
Kaiser Permanente Antioch Medical Center
Kaiser Permanente Baldwin Park Medical Center
Kaiser Permanente Downey Medical Center
Kaiser Permanente Fremont Medical Center
Kaiser Permanente Orange County – Anaheim Medical Center
Kaiser Permanente Orange County – Irvine Medical Center
Kaiser Permanente Roseville Medical Center
Kaiser Permanente San Diego Medical Center
Kaiser Permanente San Jose Medical Center
Kaiser Permanente San Leandro Medical Center
Kaiser Permanente San Marcos Medical Center
Kaiser Permanente Santa Clara Medical Center
Kaiser Permanente South Bay Medical Center
Kaiser Permanente South San Francisco Medical Center
Kaiser Permanente Vacaville Medical Center
Kaiser Permanente Vallejo Medical Center
Kaiser Permanente Walnut Creek Medical Center
Kaiser Permanente Zion Medical Center
Marshall
Mercy Hospital Southwest
Mercy Hospitals
Mercy Medical Center Merced
Mercy Medical Center Mount Shasta
Mercy San Juan Medical Center
Mills-Peninsula Medical Center
NorthBay Health – Vaca Valley Hospital
NorthBay Health Medical Center
Northridge Hospital Medical Center
O’Connor Hospital
Palomar Medical Center Escondido
Palomar Medical Center Poway
PIH Health Downey Hospital
PIH Health Good Samaritan Hospital
PIH Health Whittier Hospital
Redlands Community Hospital
San Antonio Regional Hospital
San Ramon Regional Medical Center
San Ramon Regional Medical Center – Outpatient Therapy Services
Santa Barbara Cottage Hospital
Santa Ynez Valley Cottage Hospital
Scripps Green Hospital
Scripps Memorial Hospital Encinitas
Scripps Memorial Hospital La Jolla
Sequoia Hospital
Sharp Chula Vista Medical Center
Sharp Coronado Hospital
Sharp Grossmont Hospital
St. Joseph’s Medical Center
Stanford Health Care
Stanford Health Care Tri-Valley – Livermore
Stanford Health Care Tri-Valley – Pleasanton
Tahoe Forest Hospital District
UC San Diego Health – East Campus
UC San Diego Health – Hillcrest Medical Center
UC San Diego Health – Jacobs Medical Center
UCI Medical Center
Valley Presbyterian Hospital
Woodland Healthcare
For questions, contact Melanie Shanley by email at mshanley@calhospital.org or by phone at (916) 552-7648..
Enter your response for number of volunteers managed and total service hours provided from January through June 2025.
CHA Issues Summary of CY 2026 End-Stage Renal Disease PPS Proposed Rule
This post has been archived and contains information that may be out of date.
This post has been archived and contains information that may be out of date.
Less than three weeks ago, the One Big Beautiful Bill Act was signed into law, enacting the largest health care cuts in the nation’s history and signifying a new era for how care will be paid for and delivered in America.