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On July 10, the California Supreme Court issued a unanimous opinion, which found that a county health plan is not protected from liability by the Government Claims Act in a lawsuit brought by hospitals seeking reimbursement for emergency medical care provided to patients covered by the county’s health plan. By doing so, the court agreed...
Congressional votes to end the federal government shutdown have brought several pieces of good news for health care. Other developments out of Washington, D.C., have more mixed results.
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In less than two months, Californians will head to the polls — or the post office for those who prefer mail-in ballots — for the 2024 primary election. A ballot question, Proposition 1, will ask voters to weigh in on whether or not to support a sweeping modernization of the state’s mental health system. This proposal will refocus billions of dollars in existing funds to prioritize Californians with the deepest mental health needs, living in encampments, or suffering the worst substance use disorders.
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Last week, the language for a legislative proposal — Senate Bill (SB) 1432 — that would bring much-needed relief to hospitals from current seismic building standards went into print. This was the next step toward ensuring that communities throughout California don’t lose access to care.
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CAHHS is hosting a Volunteer Workforce – Legal & Compliance virtual web series with Erika Frank. The sessions are intended to be interactive, utilizing member submitted case studies – summary, background information, approach, and results – followed by overview of risk factors and legal impact to the organization. Each session allows for Q&A and member open discussion.
All session times are 90-minutes, 12 – 1:30 p.m.
Registration will be available as the date nears.
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CHA will host a Feb. 3 webinar on changes to Medi-Cal long-term care (LTC), which is being standardized across the state under California Advancing and Innovating Medi-Cal.
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This week, California’s congressional representatives returned from their home districts to a gray and gloomy Washington, D.C.
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On Jan. 12 the Department of Health Care Services (DHCS) sent hospitals invoices covering the first six fee-for-service cycles of the 2017-19 Hospital Fee Program. The first invoice has a due date of Feb. 5; hospitals will receive the first fee-for-service payment on Feb. 26. On Friday, CHA distributed hospital-specific schedules to assist in tracking when the fees are due to DHCS and when fee-for-service payments should be received. The schedules were created using the draft model that was sent to hospitals last week in CHA News, and include an estimate of the pledge contribution to the California Health Foundation and Trust (if applicable). The information in the schedules represents CHA’s best estimates based on the portions of the program currently approved by the Centers for Medicare & Medicaid Services. If any hospital does not pay its fees to DHCS in full and on time, all hospitals will receive decreased supplemental fee-for-service payments.
CHA has also included estimates for the Medi-Cal managed care components of the 2017-19 Hospital Fee Program. However, it is important to note that the managed care components of the program have not been approved by the Centers for Medicare & Medicaid Services and, therefore, the payment amounts in the draft model are very preliminary. Furthermore, the supplemental Medi-Cal managed care payments made through the new directed payment mechanism have been estimated using inpatient utilization data publicly reported to the Office of Statewide Health Planning and Development for the fiscal year ending in 2015. However, in actuality, the directed payments will be made for inpatient and outpatient services provided to in-network patients during the current state fiscal year. CHA will continue to update members through CHA News; all updates can be found on the CHA website.
