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CHA Releases Final Draft Model of 2019-21 Hospital Fee Program

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Yesterday, the Department of Health Care Services (DHCS) submitted a final draft of the Hospital Fee Program (VI) fee and payment model to the Centers for Medicaid & Medicare Services (CMS). Over the past six months, CHA has worked closely with DHCS in finalizing the next hospital fee program. The model should be considered a final draft until the state receives official CMS approval, though CHA and DHCS do not expect significant changes during the CMS review and approval process.

Nominations Sought for Technical Expert Panel on Reevaluation of Inpatient Claims-Based Outcome Measures

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The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE) to reevaluate CMS claims-based hospital outcome measures previously developed by CORE. CORE is seeking nominations for a technical expert panel (TEP) to provide input for the reevaluation process.

CMS Issues Final Rule on Hospital, Home Health Discharge Planning

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The Centers for Medicare & Medicaid Services (CMS) has issued a final rule revising requirements for discharge planning for hospitals, critical access hospitals, and home health agencies. The provisions in the final rule will take effect in approximately 60 days, and CMS will provide additional interpretative guidance in the near future.       

CHA Submits Comments on Area Wage Index, Price Transparency Proposals in OPPS Proposed Rule

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CHA submitted comments on the calendar year (CY) 2020 outpatient prospective payment system (OPPS) proposed rule issued by the Centers for Medicare & Medicaid Services (CMS). Members are encouraged to use the letter, and additional template letters from CHA and the American Hospital Association, to support hospitals’ opposition to CMS’ unlawful proposals.

One Team – United in Purpose, Principles, and Practice

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If you want to go fast, go alone. If you want to go far, go together. — African Proverb

This message is a bit of an experiment.

It’s the first time the four of us, your association CEOs, are writing to our members collectively. And there’s an important occasion for this new approach.

Over the past year, we and our teams have made a purposeful, sustained effort to improve the way we work together, so that we can be more effective when advocating for hospitals, more efficient when drawing on each other’s expertise, and, ultimately, better at providing you with the best possible experience whenever you need us.

When it comes to the California Hospital Association, the Hospital Council – Northern & Central California, the Hospital Association of Southern California, and the Hospital Association of San Diego and Imperial Counties, there is no wrong door, and our teams are more connected than ever to make sure you get the help you need from the right person.

What does this look like in practice?

It’s a full continuum of advocacy — at the municipal, county, state, and federal levels, so you’re covered no matter where help is needed.

This is only possible thanks to the work over the past year to build a unified team from four disparate organizations — efforts that have yielded an unprecedented level of collaboration, as we’re eliminating redundant practices, leveraging internal expertise, and sharing information like never before.

All of this is powered by a new vision for our associations — the One Team concept. This paradigm breaks down those all-too-common, invisible work walls and helps each team member focus on what they, as individuals, can do to advance a goal.

From Eureka to San Diego, Sacramento to Los Angeles, and east to Washington, D.C., you have the full support of every one of your associations, and that support is strengthened by the work we’ve done (and continue to do) to amplify each other’s strengths.

Put another way, we are an integrated team, across the state, working for you.

We are four associations serving the same members.

We are one team, united in purpose and principles.

And we are grateful to you, our members — for your trust in us to support the life-saving and life-changing work you do each day for the people of California.

— Carmela, Bryan, George, Dimitrios

CMS Issues Final Rule Revising Medicare Conditions of Participation to Reduce Burden

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The Centers for Medicare & Medicaid Services (CMS) has issued a final rule revising the Medicare Conditions of Participation (CoPs) and Conditions of Coverage for hospitals, home health providers, transplant centers, ambulatory surgical centers, and other providers and facilities. Among the revised CoPs are requirements for hospital emergency preparedness, as well as infection prevention and control and antibiotic stewardship programs.

Medicaid DSH Cuts Delayed Until Nov. 21 Through Federal Budget Continuing Resolution

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Yesterday, the U.S. Senate passed a continuing resolution to provide funding for the federal government for the first few weeks of federal fiscal year 2020, which begins Oct. 1. Of particular note for California’s safety-net hospitals, the measure includes a provision to delay the Medicaid disproportionate share hospital (DSH) cuts slated to take effect on Oct. 1. The delay is in place until Nov. 21. 

Federal Judge Overturns CMS Site-Neutral Payment Policy

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In a win for providers, a federal judge has ruled that the Centers for Medicare & Medicaid Services (CMS) exceeded its statutory authority when it reduced payments for clinic visits furnished in excepted off-campus provider-based departments, which were specifically excluded from the Balanced Budget Act of 2015.

CHA Issues Summary of IPPS Final Rule

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CHA has issued a detailed summary of the inpatient prospective payment system (IPPS) final rule for federal fiscal year (FFY) 2020. The policy and payment provisions are effective for FFY 2020 discharges, beginning Oct. 1.

Creating Care Partnerships: Beyond the Continuum

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March 2 – 3, 2020
Pasadena, CA

Do you have a product or service of interest to hospital leaders in acute and post-acute care settings? This annual conference is an opportunity to reach hospital executive management all in one place. There are many ways to participate. Choose your level.