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What’s happening: The California Department of Managed Health Care (DMHC) has fined Blue Cross of California (Anthem Blue Cross) $500,000 after a health plan member was forced to file 17 grievances in order to obtain coverage for cancer care, including chemotherapy. What else to know: Anthem Blue Cross has acknowledged its failure to respond to...
This post has been archived and contains information that may be out of date.
What’s happening: The California Department of Managed Health Care (DMHC) has taken enforcement actions, including a total of $8.5 million in fines, against Blue Cross of California Partnership Plan and Anthem Blue Cross for their failure to address payment disputes with health care providers in a timely manner. What else to know: In addition to...
CHA has developed the following checklists and tools to provide guidance in hospital
disaster preparedness planning.
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Cybersecurity is integral to hospital emergency response efforts, as it protect sensitive information, maintains operational continuity, prevents disruptions, combats disinformation, secures critical infrastructure, and facilitates collaboration among stakeholders.
This post has been archived and contains information that may be out of date.
What’s happening: Last week, CHA submitted comments to the Department of Health Care Services (DHCS) on the administration’s proposal to redirect Proposition (Prop) 35 (2024) funding, rather than allocating it for provider payment increases as voters intended.
2020 Virtual Disaster Conference
Experts from a community hospital and a stand-alone acute care facility share stories and describe how the continuity of decedent management is challenged when existing resources are beyond capacity.
What’s happening: The Office of Health Care Affordability (OHCA) board meets next week, with votes agendized on the scope, range, and justification factors for both spending target penalties and procedural penalties. Hospitals must push back on the unprecedented penalties OHCA has proposed; see CHA's alert for guidance and resources.
This post has been archived and contains information that may be out of date.
What’s happening: On Oct. 8, California Department of Managed Health Care (DMHC) and Department of Health Care Services (DHCS) officials announced they have reached settlement agreements with the largest Medi-Cal plan in the state. What else to know: The two agreements with the Local Initiative Health Authority for Los Angeles County (L.A. Care Health Plan) — a $35...
What’s happening: The California Department of Health Care Services (DHCS) has indicated that payment policies are likely to be finalized in early May for the revised Hospital Fee Program tax model for calendar year 2025 (Program 9), which was submitted to the Centers for Medicare & Medicaid Services (CMS) last month. Soon after finalization, a model will be...
