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What’s happening: The Centers for Medicare & Medicaid Services (CMS) proposes policy changes for Medicare Advantage (MA) plans in contract year (CY) 2025.
What else to know: Comments on the proposed rule, which addresses MA policies such as prior authorization, outpatient behavioral health and supplemental benefits, are due Jan. 5.
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The gubernatorial signing deadline for bills passed in California’s 2023 legislative session is a little more than 48 hours away. One piece of legislation still awaiting action is SB 525, a bill that would raise the minimum wage for health care workers and is critical for hospitals to create a stable and predictable path for these increases.
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On Monday, our nation will celebrate Labor Day — a federal holiday dedicated to honoring the accomplishments of the American worker. In health care, these accomplishments literally mean the difference between life and death.
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California’s hospitals are facing dire financial conditions due to huge pandemic-related losses, years of systemic state underfunding, and unprecedented inflationary pressures.
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The Department of Managed Health Care (DMHC) has released final guidance on its Knox-Keene licensure regulation, which applies to any contract entered into, amended, or renewed on or after July 1. The regulation, among other things, defines various types of risk and requires entities that assume any amount of global risk to either obtain a license under the Knox-Keene Health Care Service Plan Act of 1975 or receive an exemption from DMHC.
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The California Office of Health Care Affordability (OHCA) continues to press forward with analyses, investigations, and policies that do not take into full account the impact of their proposals on patient care. Given that, it’s vital that hospitals make certain that the effect on patients and communities is not lost from the conversation.
Due to a shortage of behavioral health resources, many Californians struggle to find the treatment they need.
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Update on Monoclonal Antibody Therapy Authorized for Emergency Use
On Nov. 9, the Food and Drug Administration granted emergency use authorization (EUA) to a monoclonal antibody therapy called bamlanivimab, produced by Eli Lilly and Company, for the treatment of mild to moderate COVID-19. The federal government has purchased 320,000 doses through the end of 2020; the first allocation to California will be 4,040 doses. California is expected to receive allocations each week.
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Learn from Your Peers – Reopening Your Gift Shops During COVID session took place Dec. 15 from 2 to 3 p.m. Thank you to presenters Gina Cuneo with Enloe Medical Center, Mamta Kaur with Stanford Health Care, and Stephanie Nelson with Ventura County Medical Center for providing an excellent educational session for our members.
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The Learning from Your Peers – The Process of Returning Your Volunteers Zoom session took place Wednesday, September 16. Thank you to Moderator, Roseanna Galindo, CAVS, and presenter panelists Layah Blacksberg, and Patricia Dooley, CAVS, for sharing your process of returning volunteers to the hospital environment.
Overview
As COVID-19 cases stabilize in many counties and patients begin returning for elective procedures, volunteer leaders are receiving approval to bring volunteers back to hospital operations.