As of April 1, 26 counties were approved to deliver Drug Medi-Cal Organized Delivery System (DMC-ODS) services, representing nearly 88 percent of the Medi-Cal population statewide. Fourteen additional counties are in various phases of implementation.
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When we talk about “the hospital story,” we often think about it in aggregate, the one that yields huge statewide numbers and powerful data:
Last week, a federal district court ruled that the Department of Health and Human Services (HHS) exceeded its statutory authority when it implemented a 30% reduction to 2019 Medicare reimbursement rates — included in the federal fiscal year (FFY) 2019 outpatient prospective payment system (OPPS) final rule — for certain pharmaceutical drugs covered by the 340B Drug Pricing Program.
A new report from the UCLA Center for Health Policy Research examines how current policy proposals to expand coverage would impact residents across the state, finding that as many as 3.6 million Californians would benefit.
CHA has issued a summary — prepared by Health Policy Alternatives, Inc. — of the federal fiscal year 2020 long-term care hospital (LTCH) prospective payment system proposed rule. The summary describes payment, policy and quality proposals under the LTCH Quality Reporting Program. Comments on the proposed rule are due June 24.
The Centers for Medicare & Medicaid Services (CMS) this week announced a number of improvements to the Medicare Recovery Audit Contractor (RAC) Program, seeking to reduce providers’ burden by better targeting program integrity efforts.
Yesterday, CHA issued a news release on Gov. Newsom’s revised 2019-20 state budget. CHA applauds the Governor for making investments that improve Californians’ health and well-being, including: ongoing support for expanding Medi-Cal coverage to young adults, regardless of immigration status; imposing a state-level individual coverage mandate; broader premium subsidies for low and middle-income families; and significant investments in behavioral health.
The insurance industry’s counter to Medicare for All is Medicare Advantage, the privately run plans that already serve 22 million seniors or more than a third of beneficiaries.
That number will only grow in the years ahead as the next generation of seniors, already comfortable with managed care through their workplace plans, age into the program. The Congressional Budget Office projects MA plan enrollment will grow to 42% of beneficiaries by 2028.