Disaster planning in health care means being ready for anything and ensuring the safety of our communities while maintaining continuity of care when it matters most. The challenges are real, and the expectations are high.
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What’s happening: At its Jan. 14 meeting, the Proposition 35 Protect Access to Health Care Act Stakeholder Advisory Committee was presented a revised spending plan for calendar years 2025 and 2026. The spending plan reflects investments supported by managed care organization (MCO) tax proceeds generated from taxes imposed on Medi-Cal managed care plans.
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What’s happening: U.S. Department of Health and Human Services leadership has received commitments from multiple insurance companies to streamline prior authorization processes by cutting red tape, accelerating care decisions, and enhancing transparency for patients and providers.
What’s happening: The California Health Care Foundation’s Future of Medi-Cal Commission Advisory Group met last week, with discussion focused on implementing reforms well, strengthening accountability, simplifying Medi-Cal while protecting core benefits, and using data and technology to improve the member experience.
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What’s happening: The Department of Health Care Services (DHCS) has opened a 30-day public comment period — ending on March 12 — to solicit feedback on a five-year renewal request of the California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 demonstration.
What’s happening: Last week, the Centers for Medicare & Medicaid Services approved the most critical components of California’s 2025 Hospital Fee Program (Program 9).
What’s happening: Anthem Blue Cross of California announced in a provider bulletin that, on June 1, it will implement a controversial policy that applies a 10% payment penalty on facility claims when hospitals provide care to patients involving non-participating physicians or providers.
What’s happening: As the June 1 deadline for free-standing acute psychiatric hospitals staffing ratios approaches, CHA is continuing conversations and advocacy with the California Health and Human Services Agency and the California Department of Public Health (CDPH) to urge adjustments to the department’s draft regulations.
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What’s happening: A Los Angeles Superior Court Judge has ruled on CHA’s lawsuit against Anthem Blue Cross, finding that it is the responsibility of health plans to arrange for and transition to post-acute care services for their members.
What’s happening: At the May 28 “Protect Access to Health Care Act” Stakeholder Advisory Committee meeting, the Department of Health Care Services (DHCS) put forth a revised spending plan that fails to align funding with the intent of the voter-approved Proposition 35.
