Search Results for: "Continuity Planning"

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CEO Message: 2020 Advocacy Check-In

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There’s been a flurry of movement around some bills and budget proposals in the past few weeks, at both the state and federal levels.

CHA Provides Additional Details on CY 2020 Outpatient Prospective Payment System Final Rule

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The Centers for Medicare & Medicaid Services (CMS) last week issued the first of two separate regulations finalizing provisions for the calendar year (CY) 2020 outpatient prospective payment system (OPPS). Notably, a second final rule on previously proposed price transparency provisions is under review by the Office of Management & Budget. However, CMS has considerable flexibility on the timing of finalizing and implementing these policies.

Covered California Releases Report on Health Purchaser Strategies

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Earlier this week, Covered California released a report — Health Purchaser Strategies for Improving Quality of Care and Delivery System Reform — that reviews in detail the strategies used by health purchasers to drive value in health care.

Independent Report Finds CA Hospital Losses From COVID-19 Could Lead to Long-Term Changes, Service Reductions

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Independent Report Finds CA Hospital Losses From COVID-19 Could Lead to Long-Term Changes, Service Reductions  

Immediate economic relief is needed for financially challenged hospitals

SACRAMENTO (June 5, 2020) – A new report from Kaufman Hall, a nationally renowned independent consulting firm with extensive health care finance expertise, has found that the COVID-19 pandemic is likely to lead to long-term changes to financial stability and care delivery in California hospitals, many of which were already operating with negative margins. This report, which was commissioned by the California Hospital Association, comes on the heels of one released on Wednesday by the independent California Health Care Foundation, which also foretells long-term economic damage on California hospitals.

“Since the outset of the pandemic, California hospitals have rightfully focused their efforts on caring for COVID-19 patients, protecting their workers, and preserving the safety of their communities,” said Ken Kaufman, chair of Kaufman Hall. “Our research shows that these vital efforts have come at an extremely high cost. When coupled with an already challenging financial environment prior to COVID-19, California hospitals are now facing a very difficult path forward.”

CHA Comments on Cal MediConnect Program Extension

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The Department of Health Care Services (DHCS) recently requested input on how the Cal MediConnect program can provide a better member experience or otherwise improve care and care coordination. Today, CHA submitted comments that outline the challenges hospital case managers continue to experience in the discharge planning process.

2019 California Hospital Association Advocacy Priorities

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The strength and personal commitment of California hospital volunteers are unparalleled. And their contributions to the work of the California Hospital Association (CHA) are invaluable.

As we build upon the strong foundation volunteers have laid through decades of work, CHA is now looking to the future, to determine how our partnership with volunteers can help serve hospitals for the decades to come.

To that end, we are pleased to share with you three focus areas for our partnership – Energize, Engage and Empower – and how each will both strengthen our relationship and help the hospitals we all serve meet their mission of care.

Energize – Together, we have an opportunity to energize the California Hospital Volunteer Leadership Network, gleaning valuable insight and perspective into how we can better help hospitals carry out their work. By more fully integrating the Volunteer Leadership Network – a group of volunteers and paid volunteer leaders with whom CHA interacts on matters of importance to hospital volunteers – we will create new opportunities to educate volunteers and obtain input on key issues.

The Network will continue to meet annually – not only to plan for the annual conference, but also to share challenges, opportunities and best practices occurring throughout the state.  Through a new conference call and webinar opportunities with me personally and with our association’s leaders, we plan to share with the Network on an ongoing basis more about our policy and advocacy activities, like our CHA 2019 Advocacy Priorities, and to discuss with you policies like homeless discharge planning, social determinants of health, “surprise” billing, and more.  Please complete this short questionnaire to help us identify and prioritize public policy issues that are most impactful to your volunteer leadership role. As always, we will stay close and tap in to the leadership of the Network, who provide advice and guidance to CHA. We’ll convene this group virtually twice yearly for listening and planning sessions.

Engage – Our greatest opportunity for broad volunteer engagement is through our annual conference. CHA will continue to support this statewide gathering. We understand it is increasingly difficult, due to time and cost constraints, for volunteers to attend events like these. With that in mind, we’ll continue to work with Network leadership to explore the best ways for us to connect with volunteers across the state and for CHA to foster opportunities for volunteers to connect with each other.

Empower – We have a tremendous opportunity to empower volunteers through the continuous sharing of information and ideas. Look for more content available through CHA’s website and newsletter, as well as the more strategic use of social media to learn from one another and to provide a platform where we can discuss volunteer activities among hospitals.

Key to all of this work is CHA’s Melanie Shanley, now our Volunteer Services Program Manager, who will continue to provide leadership for these activities. She has done a great job, working hand in hand with the committee, to build another successful conference this year. We know she’ll continue to exceed expectations as your staff lead at CHA.

Carmela Coyle President and CEO California Hospital Association (CHA) California Association of Hospitals and Health Systems (CAHHS)

 

2019 CHA Advocacy Priorities

   

Coverage and Access to Health Care Health Care Affordability

   

Protect and Expand Funding Access to Behavioral Health Care

   

Workforce and Labor Development Statutory and Regulatory Reform

 

CEO Message: Protecting Patients by Fighting Back on Rate Setting

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Earlier this week, we asked California’s hospital leaders to raise their voices to urge congressional leaders not to set a benchmark rate as a way of addressing surprise billing.

The need to push back arose late last week after committees in both the Senate and the House of Representatives announced they had reached an agreement on legislation to tackle the high-profile issue of consumers receiving surprise medical bills. The package — which could be voted on as soon as next week — includes both a benchmark rate and an independent dispute resolution process for claims over a certain amount.

Fortunately, on Wednesday, the House Ways and Means Committee offered another bipartisan alternative. As Congress grapples with this important issue, it’s more important that they thoughtfully consider all of the complexities than rush to a hastily crafted legislative solution.

Thank you to all who have already reached out to your representatives, helping to continue the drumbeat we began last year to make clear to lawmakers that hospitals support eliminating surprise billing, but that fixed “benchmark” rates are not the right solution and threaten critical resources for patients.

Protecting patients is what hospitals do, so for you as leaders, it’s simple: People seeking necessary medical care should be protected from unexpected bills, and no patient should ever pay more for emergency care just because their insurance company chooses not to contract with a hospital. Giving patients the peace of mind to heal includes removing them from payment negotiations between insurers and providers, and creating safeguards from the gaps in insurance that result in surprise bills.

We need to keep reminding policymakers that, while benchmark rates offer financial protections for insurers, they offer none at all for consumers.

As leaders, you also know that caring for patients includes protecting their access to care. It is incumbent on all of us to make sure Congress understands that creating a benchmark payment rate threatens access – both by reducing available resources and by giving health plans less incentive to enlist facilities and physicians in their networks.

What lawmakers need to do – and they need our help – is to prevent patients who have received needed health care services from getting surprise bills for that care. Once that assurance is in place, payments made from the insurer to the provider become irrelevant to patients.

As we learn more about details of the different federal proposals, we will share them with you. This issue, of vital importance to patients and hospitals alike, requires our vigilance now and in the near future.

We cannot afford to miss a beat.

— Carmela

A Shining Example of National Ideals

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While much of the nation prepares this week for the July 4 summer holiday, hospitals and their dedicated employees will continue their 24/7 work to care for any and all who need them, at any moment.

In California, the Independence Day weekend isn’t just a beginning-of-summer holiday — it also marks a few days of heightened risk at the start of a perilous fire season. One thing Californians have learned over the past several years of wildfires: hospitals and the people who work in them are ready, willing, and able to do what’s needed when disaster strikes.

Yes, there are the hospital emergency operations plans; the standards, regulations, and statutes; the staff training and education; and everything else hospitals do in case of an emergency. But there are also the people who dedicate themselves to their communities and their neighbors in need, no matter the strained circumstances or personal difficulty.