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Updates for the Week of Oct. 11

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The Centers for Medicare & Medicaid Services issued the following updates this week:​​​​

CHA Comments on No Surprises Act Enforcement Provisions Proposed Rule

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This post has been archived and contains information that may be out of date.CHA commented on the proposed rule detailing the enforcement provisions related to the No Surprises Act (NSA). In the letter, CHA raises concerns about the promulgation of regulations related to enforcement actions before the full set of regulations required to implement the NSA’s core provisions have been produced.   […]

Update on Hospital Fee Program CY 2021 Passthrough

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Traditionally, the Department of Health Care Services (DHCS) processes Medi-Cal managed care supplemental payments at or near the federal funding claiming limit. This lengthy timeline was factored into the original 2019-21 Hospital Fee Program schedules that CHA distributed to hospitals in April 2020.

Health Care Partnerships: Vital Resources During Public Health Crises

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“When it comes to the COVID-19 pandemic, there’s no doubt in my mind that if Prime was not here, the surge would have crushed this hospital … We were able to pivot quickly — from securing massive amounts of PPE for staff and patients, to getting a federal DMAT team, to expanding ICU capacity, flexing beds, and even standing up care tents in our parking lot.”

– Dan Jones, CPPS, FACHE, CEO, St. Francis Medical Center

Health Care Partnerships: Keeping Care Affordable

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“We saw the creation of a new system as an opportunity to realize our fundamental belief that everyone has the right to be healthy…The ability to scale our strengths — evidence-based practices, clinical expertise, technological resources — across the health system footprint means that we can bring much-needed quality health care to people who might not otherwise have access to this level of service.”

– Charlie Francis, senior executive vice president, chief strategy and transformation officer, CommonSpirit

Health Care Partnerships: Preserving Access to Care

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“Our mission is to care for the poor and vulnerable. Regardless of their ability to pay, patients in the San Fernando Valley who seek care at the Providence Cedars-Sinai Tarzana Medical Center will receive care as good or better than what they could get by driving ‘over the hill’ to the hospital in Los Angeles.”

– Bernie Klein, Interim CEO, Providence Cedars-Sinai Tarzana Medical Center