New Anthem Policy Driven by Profits, Not Patients

Earlier this week, CHA sent a pointed letter to the president of Anthem Blue Cross of California, calling out the insurance behemoth’s new multistate payment policy — an unjust and harmful practice that will penalize California hospitals for providing care to patients involving non-participating physicians or providers.  

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State Submits Hospital Fee Program 10 to CMS

What’s happening: Last week, the California Department of Health Care Services (DHCS) submitted its Hospital Fee Program tax model for calendar year 2026 (Program 10) to the Centers for Medicare & Medicaid Services (CMS).

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State to Issue DSH April Payments Starting Next Week

What’s happening: The Department of Health Care Services (DHCS) will issue disproportionate share hospital (DSH) April payments for the period of February-March 2026.

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DHCS Releases Private Hospital-Directed Payment Encounter Files

What’s happening: On March 27, the Department of Health Care Services (DHCS) uploaded three new hospital data sets that hospitals must download before the files are deleted on May 11.     

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House Letter Urges Appropriators to Block Funding for 340B Rebate Model

What’s happening: U.S. Rep. Doris Matsui led a bipartisan letter requesting that the fiscal year 2027 appropriations bill include language barring the use of funds for implementation of any 340B Rebate Model, including the previously proposed pilot program

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Updated HPSA Designation List Available from HCAI

What’s happening: Due to federal policy shifts, many of California’s Health Professional Shortage Area (HPSA) designations are currently “Proposed for Withdrawal” on July 1. An updated and more comprehensive list from the Department of Health Care Access and Information (HCAI) is available to help hospitals located in a HPSA assess their status. 

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Hospital APOT Reduction Protocols Due June 30

What’s happening: As a reminder, all hospitals must submit an ambulance patient offload time (APOT) reduction protocol — required under Assembly Bill (AB) 40 (2023) — to the Emergency Medical Services Authority (EMSA) annually on or before June 30. CHA recommends hospitals submit their protocols as soon as possible.  

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Physician Reclaims His Marathon Dream After Surgery to Remove Tumor

Sunny Sharma, MD, is used to advising his patients to do their research — and when he experienced hearing loss after having a viral infection, he followed his own advice. After an MRI revealed an acoustic neuroma, Dr. Sharma read research articles, met with several local doctors for referrals, and joined support groups to learn more. UC San Diego Health’s name came kept coming up, so he turned to their acoustic neuroma experts for care. Eventually, he was able to reclaim his dream of running the Chicago Marathon. 

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Rural Health Care Matters

I had the privilege earlier this week to welcome and join one of the most important gatherings of rural health care leaders in California: CHA’s annual Rural Health Care Symposium. 

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Recording of Hospital Fee Program Executive Briefing Now Available

What’s happening: recording of CHA’s March 18 executive briefing on the Hospital Fee Program is now available for members who may have missed it.  

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