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A bill that claims to address health care worker retention in fact jeopardizes health care jobs, treats California’s essential workers inequitably, and reduces access to care throughout the state.
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Last week, shortly after state lawmakers were sworn in for the 2023 legislative session, Assembly member Freddie Rodriguez (D-Pomona) introduced Assembly Bill (AB) 40, which aims to reduce the time it takes to transfer patients arriving at hospitals via ambulance.
SACRAMENTO (April 23, 2024) — Anthem Blue Cross, one of California’s largest health insurance companies, consistently leaves thousands of its patients stranded in hospital beds long after they have been medically cleared for discharge, a violation of California law. These victims of discharge delays are forced to stay in hospitals longer, are deprived of timely post-hospital health care services, and cause backlogs for other patients who have to wait longer for hospital beds.
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The Centers for Medicare & Medicaid Services (CMS) regularly provides important updates about post-acute care quality reporting programs, including training opportunities, public reporting, and reminders of data submission and review deadlines.
Inpatient Rehabilitation Facilities
Data Submission Deadline Approaching
Assessment data for the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF PAI) and data submitted to CMS via the Center for Disease Control and Prevention National Healthcare Safety Network for July-September (Q3) of calendar year 2017 are due no later than 11:59 (PT) on Feb. 15.
Long-Term Acute Care Hospitals
Data Submission Deadline Approaching
Assessment data for the Long-Term Care Hospital Continuity Assessment Record and Evaluation (LTCH CARE) and data submitted to CMS via the Center for Disease Control and Prevention National Healthcare Safety Network for July-September (Q3) of calendar year 2017 are due no later than 11:59 (PT) on Feb. 15.
Training
Materials from the December 2017 Long-Term Care Hospital Quality Reporting Program provider training are now available under “Related Links” on CMS’ dedicated long-term care hospital web page.
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CHA Request for State Support on COVID-19 Response
As part of our ongoing work to secure support from the state to maximize hospitals’ ability to treat patients needing acute and intensive care during the ongoing COVID-19 surge, CHA sent a formal request to the Governor’s Office and the California Health and Human Services Agency on Dec. 13. CHA requested specific steps in four areas:
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“Hospital emergency departments house homeless mental health patients for days — and sometimes weeks — while they wait for mental health bed capacity to open due to a severe shortage of inpatient and step-down unit beds.” — Sacramento County Grand Jury Investigative Report, June 2023
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In Monterey Park, 11 people were killed. In Half Moon Bay, seven more lost their lives.
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What’s happening: CHA-sponsored legislation that would offer important modifications to 2030 hospital seismic standards is making its way through the Legislature.
What else to know: CHA is urging hospitals to help build support for Senate Bill (SB) 1432 by offering tours to their lawmakers and elected officials now through July. Marshall Medical Center in Placerville successfully held tours to showcase the challenges of seismic construction.
Insurance companies must be held accountable for patient care in California. We need your help to gather data about their all-too-common business practices that impede patient care. How can we accomplish this? With your participation, we will gather the data needed to press regulators to enforce state law on network adequacy, prior authorization, medical necessity, prompt payment, parity, and more. […]
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Today, the Centers for Medicare & Medicaid Services (CMS) issued its final rule updating the inpatient and long-term care hospital prospective payment systems (PPS) for federal fiscal year (FFY) 2018.
For inpatient PPS hospitals, CMS finalized a market-basket update of 2.7 percent, reduced by a negative 0.6 percent productivity adjustment and the negative 0.75 adjustment required by the Affordable Care Act (ACA), as well as a cut of 0.6 percent to remove the one-time, temporary adjustment that it made in FFY 2017 to restore the unlawfully instituted two-midnight policy cuts. In addition, CMS finalized an increase of 0.4588 percent, as required by the 21st Century Cures Act, to partially restore cuts made as a result of the American Taxpayer Relief Act of 2012. CMS estimates total Medicare spending on inpatient hospital services will increase by approximately 1.2 percent, or $2.4 billion, as compared to FFY 2017.
The final rule also implements ACA-mandated Medicare disproportionate share hospital (DSH) reductions. Despite CHA’s strong opposition, CMS has adopted its proposed Medicare DSH policy with slight modifications. CMS will proceed in implementing a three-year transition period, beginning in FFY 2018, during which it will utilize a blend of the current proxy and uncompensated care cost data from Worksheet S-10 of the Medicare cost report in the methodology for distributing Medicare DSH uncompensated care payments. CMS did, however, modify the trim methodology and comments on aberrant data. CHA is currently analyzing those provisions.